Organization
MIND OVER MATTER HEALTH SERVICES, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ASIA JOHNSON (OWNER)
(410) 982-1353
Entity
Organization
Contact information
Practice address
10016 MARRIOTTSVILLE RD, RANDALLSTOWN, MD 21133-1502
(410) 982-1353
Mailing address
10016 MARRIOTTSVILLE RD, RANDALLSTOWN, MD 21133-1502
(410) 982-1353
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
04/20/2023
Last updated
04/20/2023
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