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

The Indigo Child Therapeutic LLC

Organization Behavior Analyst · NPI 1912514910

The Indigo Child Therapeutic LLC is a Behavior Analyst in Clinton, Maryland. Works from 2 locations. Registered with an NPI since 2020.

In the registry since
2020
Specialties on file
6
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

7491 Old Alexandria Ferry Rd
Clinton, MD 20772
Phone: (202) 277-5378
Fax: (240) 269-7799
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 7491 Old Alexandria Ferry Rd, Clinton, MD 20735-1845 — (240) 244-9778

Specialties & licences

Speech-Language Pathologist (primary) Taxonomy 235Z00000X
Behavior Analyst Taxonomy 103K00000X
Occupational Therapy Assistant Taxonomy 224Z00000X
Physical Therapist Taxonomy 225100000X
Occupational Therapist Taxonomy 225X00000X
Speech-Language Assistant Taxonomy 2355S0801X

Record details

NPI number1912514910
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Tiffany Dicks — Owner · (240) 244-9778
Other names Tic Therapeutic; The Indigo Child Therapeutic
NPI enumeratedSeptember 24, 2020
Last updated in NPPESOctober 23, 2024
Certification dateOctober 21, 2024
Mailing address9722 Green Apple Turn, Upper Marlboro, MD 20772-4423

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