Organization

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

Provider Address

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