Individual
MS. LAUREN HERROLD BREDICKAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S., BCBA
Contact information
Practice address
11703 FAIRMONT PL, IJAMSVILLE, MD 21754-9144
(301) 865-4524
Mailing address
11703 FAIRMONT PL, IJAMSVILLE, MD 21754-9144
(301) 865-4524
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-09-5374
—
Other
Enumeration date
09/16/2009
Last updated
09/16/2009
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