Institute For Behavioral Change, Inc. in Waldorf - Clinical Child & Adolescent

Institute For Behavioral Change, Inc. - NPI 1124298484

Institute For Behavioral Change, Inc. is a Clinical Child & Adolescent in Waldorf, Maryland. Institute For Behavioral Change, Inc. practices all healthcare services and medical treatments related to Clinical Child & Adolescent. The NPI Number for Institute For Behavioral Change, Inc. is 1124298484. The last update date is 2023-03-22.

Institute For Behavioral Change, Inc.'s current location address is 2670 Crain Hwy Ste 205, Waldorf, Maryland. You can contact this provider via phone number 3018180092 and fax number 3018180110. The mailing address for Institute For Behavioral Change, Inc. is 2670 Crain Hwy Ste 205, Waldorf, Maryland. To know further, please read the information below!

Provider Profile Detail

Provider Organization Institute For Behavioral Change, Inc.
Address 2670 Crain Hwy Ste 205, Waldorf, Maryland
Phone Number 3018180092
Fax Number 3018180110
Sole Proprietor --
Credentials --

Authorized Official

Title or Position CEO
Authorized Official Name Mabry Howard
Credentials PHD
Telephone Number 3018180110

NPI Number Detail

NPI Number 1124298484
Provider Enumeration Date 2008-03-03
Last Updated Date 2023-03-22

Provider Mailing Address Detail

Address 2670 Crain Hwy Ste 205
City Waldorf
State Maryland (MD)
Post Code 206012816
Phone Number 3018180092
Fax Number 3018180110

Provider's Primary Taxonomy Detail

Speciality Clinical Child & Adolescent
Taxonomy 103Tc2200X
Licence No 1652
Definition:
A psychologist who develops and applies scientific knowledge to the delivery of psychological services to infants, toddlers, children and adolescents within their social context. Of particular importance to the specialty of clinical child psychology

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FAQs about Institute For Behavioral Change, Inc.

What is the unique identification code assigned to Institute For Behavioral Change, Inc. by the Centers for Medicare & Medicaid Services?

The Institute For Behavioral Change, Inc. has been issued the NPI (National Provider Identifier) 1124298484. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Could you provide the complete address where Institute For Behavioral Change, Inc. is physically located?

The Institute For Behavioral Change, Inc. is situated at the following address: 2670 Crain Hwy Ste 205, Waldorf, MD 206012816.

What is Institute For Behavioral Change, Inc.'s specialized field of practice, and what is the corresponding taxonomy classification code?

The Institute For Behavioral Change, Inc.'s area of specialization is Clinical Child & Adolescent, and the corresponding taxonomy code that categorizes this field of practice is 103Tc2200X.

On what date did the Institute For Behavioral Change, Inc. receive its 1124298484 assignment from the Centers for Medicare & Medicaid Services?

The Institute For Behavioral Change, Inc. was assigned its 1124298484 by the Centers for Medicare & Medicaid Services on 2008-03-03.

As of what date were the Institute For Behavioral Change, Inc.'s details last updated?

The information pertaining to the Institute For Behavioral Change, Inc., including its address, specialty, and other details, was most recently updated on 2023-03-22.

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