Individual
BRITTANY RENA POWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
10514 RACETRACK RD STE G, BERLIN, MD 21811-3241
(410) 973-2301
(410) 973-2305
Mailing address
10514 RACETRACK RD STE G, BERLIN, MD 21811-3241
(410) 973-2301
(410) 973-2305
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
483106300
—
MD
Enumeration date
11/07/2017
Last updated
11/07/2017
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