Individual
DR. ROBERT HARRELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHD., BCBA-D
Contact information
Practice address
3825 GREENSPRING AVE, BALTIMORE, MD 21211-1310
(443) 923-4573
Mailing address
3825 GREENSPRING AVE, BALTIMORE, MD 21211-1310
(443) 923-4573
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
LBA084
MD
103T00000X
Psychologist
Primary
04211
MD
Other
Enumeration date
10/30/2015
Last updated
10/30/2015
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