Park, Mandy

Park, Mandy is an sole proprietor health care provider with primary practice located at 7918 Beverly Ave , Parkville MD 21234-5308. She recently has only one registered license in Behavioral Health & Social Service Providers / Behavioral Analyst, which is considered as her primary health care specialty. Park, Mandy can be contacted via phone (410) 370-3612.

Contact Information

Primary practice address
7918 Beverly Ave Parkville MD 21234-5308
Phone: (410) 370-3612
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Behavioral Analyst 103K00000X 1-06-3042 Maryland

Profile Details

NPI number 1396279048
LBN Legal business name Park, Mandy
Credentials M.A., BCBA
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 19th, 2017
Last updated Apr 19th, 2017 - about 9 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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