Hudson, Malcolm

Hudson, Malcolm is an individual health care provider with primary practice located at 1050 Connecticut Ave Nw Ste 500 , Washington DC 20036-5304. He recently has only one registered license in Behavioral Health & Social Service Providers / Behavior Technician, which is considered as his primary health care specialty. Hudson, Malcolm can be contacted via phone (866) 872-7602.

Contact Information

Primary practice address
1050 Connecticut Ave Nw Ste 500 Washington DC 20036-5304
Phone: (866) 872-7602
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Behavior Technician 106S00000X

Profile Details

NPI number 1104426139
LBN Legal business name Hudson, Malcolm
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 28th, 2020
Last updated Nov 22nd, 2021 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1104426139 NPPES
Other RBT-21-193015 RBT CERTIFICATION

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