NPI 1417705203 · live from the CMS NPI Registry
Advanced Autism Services MD LLC
Behavior Analyst in Bethesda, MD. National Provider Identifier 1417705203, active.
NPI record
| NPI | 1417705203 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Behavior Analyst 103K00000X |
| Practice location | 6701 Democracy Blvd Ste 300, Bethesda, MD 20817 |
| Practice phone | 410-777-9158 |
| Mailing address | Po Box 1335, Lakewood, NJ 08701 |
| Enumerated | May 8, 2024 |
| Last updated | May 8, 2024 |
| Authorized official | Advanced Autism Services, Owner |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Behavior Analyst primary | 103K00000X | — |
| Behavior Technician | 106S00000X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.