Michael Kofi Dickson

NPI #1003669136 in Gaithersburg, Maryland

Provider Information

NPI Number: 1003669136
Entity Type: Individual
Name: Michael Kofi Dickson
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Technician
Enumeration Date: Apr 9, 2024
Last Updated: Apr 9, 2024

Practice Location

Address: 9711 WASHINGTONIAN BLVD STE 550
City: Gaithersburg
State: Maryland
ZIP Code: 20878-5789
Phone: (410) 609-6357

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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