Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Pediatric Speech Lab

Organization Behavior Analyst · NPI 1720524598

Pediatric Speech Lab is a Behavior Analyst in Waldorf, Maryland. Licensed in District of Columbia and Maryland. Registered with an NPI since 2017.

Licensed in
DC, MD
In the registry since
2017
Specialties on file
6
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Practice location Address checks out

11350 Pembrooke Sq Ste 313
Waldorf, MD 20603-4809
Phone: (301) 885-0033
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Speech-Language Pathologist (primary) Taxonomy 235Z00000X · Licence SLP000879 (DC)
Behavior Analyst Taxonomy 103K00000X
Assistant Behavior Analyst Taxonomy 106E00000X
Speech-Language Pathologist Taxonomy 235Z00000X · Licence 08341 (MD)
Community/Behavioral Health Agency Taxonomy 251S00000X
Multi-Specialty Clinic/Center Taxonomy 261QM1300X

Record details

NPI number1720524598
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Quintina Briscoe — Speech-Language Pathologist/ Owner · (301) 885-0033
NPI enumeratedJanuary 17, 2017
Last updated in NPPESSeptember 1, 2022
Certification dateAugust 19, 2022
Mailing address11350 Pembrooke Sq Ste 313, Waldorf, MD 20603-4809

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