The Indigo Child Therapeutic LLC

NPI #1386235323 in Clinton, Maryland

Provider Information

NPI Number: 1386235323
Entity Type: Organization
Organization Name: The Indigo Child Therapeutic LLC
Primary Specialty: Behavior Analyst
Enumeration Date: Feb 2, 2021
Last Updated: Oct 22, 2024

Practice Location

Address: 7491 OLD ALEXANDRIA FERRY RD
City: Clinton
State: Maryland
ZIP Code: 20735-1834
Phone: (240) 244-9778

Authorized Official

Name: MS. TIFFANY DICKS
Title: OWNER
Phone: (240) 244-9778

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X
Behavior Analyst	103K00000X	Primary

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