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Pediatric Speech Lab
Multi-Specialty Clinic/Center in Waldorf, Maryland
NPI 1720524598

Pediatric Speech Lab is a Multi-Specialty Clinic/Center based in Waldorf, MD and is specialized in Multi-Specialty. Pediatric Speech Lab practices in Waldorf, MD. The NPI Number for Pediatric Speech Lab is 1720524598 and holds a License No. (Maryland).

The current practice location address for Pediatric Speech Lab is 11350 Pembrooke Sq Ste 313, Waldorf, MD and can be reached out via phone at 301-885-0033. You can also correspond with Pediatric Speech Lab through the mailing address at 11350 PEMBROOKE SQ STE 313, WALDORF, MD - 20603-4809 (mailing address contact number: 301-885-0033).

Location: 11350 Pembrooke Sq Ste 313, Waldorf, MD, 20603-4809
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1720524598
Provider Name
Pediatric Speech Lab
Credential
Provider Entity Type
Organization
Address
11350 Pembrooke Sq Ste 313, Waldorf, MD, 20603-4809
Phone Number
301-885-0033
Fax Number
Provider Enumeration Date
01/17/2017
Last Update Date
03/13/2024
institution
Provider Business Practice Location Address Details
Address
11350 Pembrooke Sq Ste 313
City
Waldorf
State
Maryland
Zip
20603-4809
Phone Number
301-885-0033
Fax Number
person
Provider Business Mailing Address Details
Address
11350 Pembrooke Sq Ste 313
City
Waldorf
State
Maryland
Zip
20603-4809
Phone Number
301-885-0033
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Behavior Analyst
Speciality
-
Taxonomy
103K00000X
License No.
()
Definition
A behavior analyst is qualified by at least a master's degree and Behavior Analyst Certification Board certification and/or a state-issued credential (such as a license) to practice behavior analysis independently. Behavior analysts provide the required supervision to assistant behavior analysts and behavior technicians. A behavior analyst delivers services consistent with the dimensions of applied behavior analysis. Common services may include, but are not limited to, conducting behavioral assessments, analyzing data, writing and revising behavior-analytic treatment plans, training others to implement components of treatment plans, and overseeing implementation of treatment plans.
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Assistant Behavior Analyst
Speciality
-
Taxonomy
106E00000X
License No.
08341 (Maryland)
Definition
An assistant behavior analyst is qualified by Behavior Analyst Certification Board certification and/or a state-issued license or credential in behavior analysis to practice under the supervision of an appropriately credentialed professional behavior analyst. An assistant behavior analyst delivers services consistent with the dimensions of applied behavior analysis and supervision requirements defined in state laws or regulations and/or national certification standards. Common services may include, but are not limited to, conducting behavioral assessments, analyzing data, writing behavior-analytic treatment plans, training and supervising others in implementation of components of treatment plans, and direct implementation of treatment plans.
person
Provider's Taxonomy Details 3
Type
Speech, Language and Hearing Service Providers
Classification
Speech-Language Pathologist
Speciality
-
Taxonomy
235Z00000X
License No.
SLP000879 (District of Columbia)
Definition
The speech-language pathologist is the professional who engages in clinical services, prevention, advocacy, education, administration, and research in the areas of communication and swallowing across the life span from infancy through geriatrics. Speech-language pathologists address typical and atypical impairments and disorders related to communication and swallowing in the areas of speech sound production, resonance, voice, fluency, language (comprehension and expression), cognition, and feeding and swallowing.
person
Provider's Taxonomy Details 4
Type
Agencies
Classification
Community/Behavioral Health
Speciality
-
Taxonomy
251S00000X
License No.
()
Definition
A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.
person
Provider's Taxonomy Details 5
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Multi-Specialty
Taxonomy
261QM1300X
License No.
()
Definition
Definition to come...
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