Organization
ABA CHANGES LIVES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KRISTEN ANN JOHNSON MA, BCBA (BEHAVIOR ANALYST)
(301) 641-7275
Entity
Organization
Contact information
Practice address
10803 GLADE CT, NEW MARKET, MD 21774-6605
(301) 641-7275
(866) 298-8206
Mailing address
10803 GLADE CT, NEW MARKET, MD 21774-6605
(301) 641-7275
(866) 298-8206
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-06-3092
MD
Other
Enumeration date
12/06/2011
Last updated
12/06/2011
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