Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.
NPIDirectory

Pediatric Speech Lab

Organization Behavior Analyst · NPI 1720524598

Pediatric Speech Lab provides Behavior Analyst services 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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