Behavior Change Incorporated

NPI #1073751293 in Baltimore, Maryland

Provider Information

NPI Number: 1073751293
Entity Type: Organization
Organization Name: Behavior Change Incorporated
Primary Specialty: Point of Service
Enumeration Date: Jan 26, 2009
Last Updated: Jan 26, 2009

Practice Location

Address: 2126 E BALTIMORE ST
City: Baltimore
State: Maryland
ZIP Code: 21231-2041
Phone: (804) 519-1360

Authorized Official

Name: SAMANTHA HARDESTY, M.A., BCBA
Title: CERTIFIED BEHAVIOR ANALYST
Phone: (804) 519-1360

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Point of Service	305S00000X	Primary

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