Provider Demographics
NPI:1770134249
Name:MARYLAND BEHAVIORAL CONSULTING INC
Entity type:Organization
Organization Name:MARYLAND BEHAVIORAL CONSULTING INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:YECHESKEL
Authorized Official - Middle Name:
Authorized Official - Last Name:HALBERSTAM
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:240-247-0988
Mailing Address - Street 1:8115 MAPLE LAWN BLVD STE 350
Mailing Address - Street 2:
Mailing Address - City:FULTON
Mailing Address - State:MD
Mailing Address - Zip Code:20759-2683
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:8115 MAPLE LAWN BLVD STE 350
Practice Address - Street 2:
Practice Address - City:FULTON
Practice Address - State:MD
Practice Address - Zip Code:20759-2683
Practice Address - Country:US
Practice Address - Phone:240-247-0988
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-09-25
Last Update Date:2019-09-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior AnalystGroup - Multi-Specialty