Thomas Vincent Ballard

NPI #1306374095 in Berlin, Maryland

Provider Information

NPI Number: 1306374095
Entity Type: Individual
Name: Thomas Vincent Ballard
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Technician
Enumeration Date: May 25, 2017
Last Updated: May 25, 2017

Practice Location

Address: 10514 RACETRACK RD STE G
City: Berlin
State: Maryland
ZIP Code: 21811-3241
Phone: (410) 973-2371

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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