Pediatric Speech Lab

Primary specialty

Health Service Clinic/CenterTaxonomy code 261QH0100X

Legal business name

PEDIATRIC SPEECH LAB

Doing business as

Speech Lab ABA

Practice address

11350 Pembrooke SQ Ste 313
Waldorf, MD 20603-4809

Phone

(202) 355-3839

NPI assigned

Mar 20, 2023

Last updated

Sep 2, 2025By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Quintina Maria BriscoeNPI 1902226988

Title

Ceo

Phone

(202) 355-3839

Specialties & licenses 1

Addresses

Other names 1

• Speech Lab ABA Doing business as

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Quintina Maria Briscoe, CCC-SLP

  • Speech-Language Pathologist
  • Waldorf, MD
  • NPI 1902226988
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1679270400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1756771200000",
    "number": "1538861802",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11350 PEMBROOKE SQ STE 313",
            "city": "WALDORF",
            "state": "MD",
            "postal_code": "206034809",
            "telephone_number": "202-355-3839"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11350 PEMBROOKE SQ STE 313",
            "city": "WALDORF",
            "state": "MD",
            "postal_code": "206034809",
            "telephone_number": "202-355-3839"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEDIATRIC SPEECH LAB",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-03-20",
        "last_updated": "2025-09-02",
        "certification_date": "2023-12-29",
        "status": "A",
        "authorized_official_last_name": "BRISCOE",
        "authorized_official_first_name": "QUINTINA",
        "authorized_official_middle_name": "MARIA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "202-355-3839"
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Speech Lab ABA",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Peacock Physical Therapy Services LLC
• Janine Peacock, D.P.T.
• Michael Edward Pearlman, DPM
• Jessica Peck, PSYD
• Pediatric Partners of Southern Maryland, PA
• Pediatric Speech Lab
• Pembrooke Anesthesia Assoc., LLC
• Pembrooke Health Services LLC (Pembrooke Pharmacy)
• Pembrooke Square ENT Associates, LLC
• Pembrooke Square Surgery Center, LLC

• Health Service Clinic/Center in Waldorf, MD
• Providers in Waldorf, MD by specialty
• Health Service Clinic/Center in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.