Basic Information
| Provider Information | |||||||||
| NPI: | 1760831168 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | MERCHANT | ||||||||
| FirstName: | SAEEDA | ||||||||
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| Credential: | BCBA | ||||||||
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| Mailing Information | |||||||||
| Address1: | 10914 GEORGIA AVE APT 612 | ||||||||
| Address2: | |||||||||
| City: | SILVER SPRING | ||||||||
| State: | MD | ||||||||
| PostalCode: | 209024448 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 4787571933 | ||||||||
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| Practice Location | |||||||||
| Address1: | 11921 BOURNEFIELD WAY | ||||||||
| Address2: | |||||||||
| City: | SILVER SPRING | ||||||||
| State: | MD | ||||||||
| PostalCode: | 209047815 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3015782300 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 06/07/2016 | ||||||||
| LastUpdateDate: | 07/25/2022 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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| NPICertificationDate: | 07/25/2022 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 103K00000X | 11621358 | IL | N | Behavioral Health & Social Service Providers | Behavioral Analyst | 103K00000X | 11621358 | N | Behavioral Health & Social Service Providers | Behavioral Analyst | 103K00000X | LBA787 | MD | Y | Behavioral Health & Social Service Providers | Behavioral Analyst |
No ID Information.