Awaken Licensed Applied Behavioral Analysis Services Pllc
Behavioral Analyst in Ellicott City, MD(View on Map)
Legal Business Name
Awaken Licensed Applied Behavioral Analysis Services Pllc
NPI Number
1174097547
NPI Type
Organization
Enumeration Date
01/18/2019
Specialties
(Taxonomies)Code
103K00000X
251S00000X
Primary Taxonomy
Yes
No
Contact
Information
Purpose
Mailing
Location
Address
8480 BALTIMORE NATIONAL PIKE STE 3210 #126
8480 BALTIMORE NATIONAL PIKE STE 3210 #126
City
Ellicott City
Ellicott City
State
MD
MD
Postal Code
21043
21043
Country
US
US
Telephone Number
(914) 713-7974
(914) 713-7974
Authorized Official
Name
Mrs. Petagaye Townsend
Title or Position
CHIEF OPERATING OFFICER
Telephone Number
(914) 363-8313
Provider data last refreshed from NPPES NPI registry on 11/19/2024
Data last updated by provider on 04/30/2021