Individual
ALEXANDER SCALLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1723 BOLTON ST, BALTIMORE, MD 21217-4325
(410) 530-4846
Mailing address
1723 BOLTON ST, BALTIMORE, MD 21217-4325
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
MD
Other
Enumeration date
08/14/2017
Last updated
08/14/2017
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