Individual
MRS. LISA MARIE CZAJKOWSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSED, BCBA
Contact information
Practice address
4180 DOUBLE TREE LN, HAMPSTEAD, MD 21074-1550
(443) 744-0512
Mailing address
4180 DOUBLE TREE LN, HAMPSTEAD, MD 21074-1550
(443) 744-0512
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-14-16907
MD
Other
Enumeration date
02/09/2015
Last updated
02/08/2019
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