Provider Demographics
NPI:1790798445
Name:INTERGRATING CHILDREN AND KNOWLEDGE OF WASHINGTON
Entity Type:Organization
Organization Name:INTERGRATING CHILDREN AND KNOWLEDGE OF WASHINGTON
Other - Org Name:ICAN OF WASHINGTON INC
Other - Org Type:Other Name
Authorized Official - Title/Position:BOARD CERTIFIED BEHAVIOR ANALYST
Authorized Official - Prefix:MRS
Authorized Official - First Name:CYNTHIA
Authorized Official - Middle Name:D
Authorized Official - Last Name:ONDER
Authorized Official - Suffix:
Authorized Official - Credentials:MA CCC SLP BCBA
Authorized Official - Phone:301-897-0815
Mailing Address - Street 1:5100 ACACIA AVENUE
Mailing Address - Street 2:
Mailing Address - City:BETHESDA
Mailing Address - State:MD
Mailing Address - Zip Code:20814
Mailing Address - Country:US
Mailing Address - Phone:301-897-0815
Mailing Address - Fax:301-897-0819
Practice Address - Street 1:5100 ACACIA AVENUE
Practice Address - Street 2:
Practice Address - City:BETHESDA
Practice Address - State:MD
Practice Address - Zip Code:20814
Practice Address - Country:US
Practice Address - Phone:301-897-0815
Practice Address - Fax:301-897-0819
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-14
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Not Answered103TB0200XBehavioral Health & Social Service ProvidersPsychologistCognitive & BehavioralGroup - Multi-Specialty
Not Answered235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language PathologistGroup - Multi-Specialty