Elizabeth Coll

Individual provider Active NPI Behavior Technician · Glenarden, MD

NPI 1760147185 · NPPES record last updated Nov 1, 2021

Key facts

NPI
1760147185
Entity type
Individual (NPI type 1)
Primary specialty
Behavior Technician 106S00000X
Practice address
4500 Forbes Blvd Ste 200
Glenarden, MD 20706-6316
Phone
(240) 723-5006
NPI assigned
Nov 1, 2021
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Technician 106S00000X Yes

Addresses

Primary practice location

4500 Forbes Blvd Ste 200
Glenarden, MD 20706-6316

Mailing address

4500 Forbes Blvd Ste 200
Glenarden, MD 20706-6316
Phone (240) 723-5006

Other providers in Glenarden, MD

All providers in Glenarden, MD · Behavior Technician in Maryland

Sources for this page

Verify at the official NPI Registry.