Individual
ELISE LORRAINE SIMON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
7529 STANDISH PL STE 355, DERWOOD, MD 20855-2733
(571) 317-1742
Mailing address
7529 STANDISH PL STE 355, DERWOOD, MD 20855-2733
(571) 317-1742
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
12370444
PA
Other
Enumeration date
12/12/2019
Last updated
11/27/2024
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