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Contact Information

AWAKEN LICENSED APPLIED BEHAVIORAL ANALYSIS SERVICES PLLC
8480 BALTIMORE NATIONAL PIKE STE 3210 #126
ELLICOTT CITY, MD21043
 Phone: 914-713-7974
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Behavior Analyst

103K00000X
 

Community/Behavioral Health

251S00000X
Indicates primary specialty

NPI Profile & details for AWAKEN LICENSED APPLIED BEHAVIORAL ANALYSIS SERVICES PLLC

NPI Number 1174097547
LBN Legal business name AWAKEN LICENSED APPLIED BEHAVIORAL ANALYSIS SERVICES PLLC
Authorized official PETAGAYE TOWNSEND - (CHIEF OPERATING OFFICER)
Entity Organization
Organization subpart 1 No
Enumeration date 01/18/2019
Last updated 04/30/2021 - About 5 years ago
Identifiers n/a
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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