Female

Mrs. Petagaye S. Townsend MS, BCBA, LBA

Behavioral Analyst in Ellicott City, MD(View on Map)

Full Name

Mrs. Petagaye Simone Townsend MS, BCBA, LBA

NPI Number

1497026942

NPI Type

Individual Provider

Gender

Female

Enumeration Date

01/14/2012

Specialties

(Taxonomies)

Code

103K00000X
222Q00000X

Primary Taxonomy

Yes
No

Licenses

State

New York
New York

License Number

1-14-9454
1125719

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

21043-1420
21043

Country

US
US

Telephone Number

(914) 363-8313
(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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