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Individual

ANTOINETTE KING

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
1777 REISTERSTOWN RD, PIKESVILLE, MD 21208-1380
(410) 205-2315
Mailing address
16 NAKOTA CT, MIDDLE RIVER, MD 21220-3665
(443) 554-7008

Taxonomy

Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
106S00000X
Behavior Technician
Primary

Other

Enumeration date
11/22/2020
Last updated
11/24/2020
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