Provider Demographics
NPI:1932658721
Name:SNOWFLAKES ABA, LLC
Entity Type:Organization
Organization Name:SNOWFLAKES ABA, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BCBA, LBA
Authorized Official - Prefix:
Authorized Official - First Name:DANNENE
Authorized Official - Middle Name:
Authorized Official - Last Name:DRUMMOND
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:443-766-9422
Mailing Address - Street 1:10008 BOW RIDGE CT
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89145-8809
Mailing Address - Country:US
Mailing Address - Phone:443-766-9422
Mailing Address - Fax:443-687-8696
Practice Address - Street 1:10015 OLD COLUMBIA RD STE B215
Practice Address - Street 2:
Practice Address - City:COLUMBIA
Practice Address - State:MD
Practice Address - Zip Code:21046-1865
Practice Address - Country:US
Practice Address - Phone:443-766-9422
Practice Address - Fax:443-687-8696
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-09-22
Last Update Date:2020-01-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDLBA009103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior AnalystGroup - Single Specialty