Individual
CHRISTINA HUSTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2844 MONTCLAIR DR, ELLICOTT CITY, MD 21043-3427
(443) 718-8404
Mailing address
10015 OLD COLUMBIA RD STE B215, COLUMBIA, MD 21046-1865
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
1986547
MD
Other
Enumeration date
06/13/2019
Last updated
06/13/2019
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