Provider Demographics
NPI:1013555689
Name:FOSTER, MARGARET JEANNETTE (BCBA, LBA)
Entity Type:Individual
Prefix:
First Name:MARGARET
Middle Name:JEANNETTE
Last Name:FOSTER
Suffix:
Gender:F
Credentials:BCBA, LBA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8300 PLUM CREEK DR
Mailing Address - Street 2:
Mailing Address - City:GAITHERSBURG
Mailing Address - State:MD
Mailing Address - Zip Code:20882-4443
Mailing Address - Country:US
Mailing Address - Phone:352-222-1599
Mailing Address - Fax:
Practice Address - Street 1:8300 PLUM CREEK DR
Practice Address - Street 2:
Practice Address - City:GAITHERSBURG
Practice Address - State:MD
Practice Address - Zip Code:20882-4443
Practice Address - Country:US
Practice Address - Phone:352-222-1599
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-12-14
Last Update Date:2019-12-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDLBA017106S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician