Organization
MASTER IT BEHAVIOR THERAPY OF MARYLAND
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHANA KOLKO (ADMIN)
(833) 653-1800
Entity
Organization
Contact information
Practice address
6340 SECURITY BLVD STE 100, BALTIMORE, MD 21207-5284
(833) 653-1800
Mailing address
6340 SECURITY BLVD STE 100, BALTIMORE, MD 21207-5284
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
12/03/2024
Last updated
12/03/2024
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