OrganizationActive
A Broad Place LLC
NPI 1669190450 · Behavior Analyst · Windsor Mill, MD
Provider details
- NPI number
- 1669190450
- Entity type
- Organization
- Primary specialty
- Behavior AnalystBehavioral Health & Social Service Providers
- Organization subpart
- No
- Authorized official
- Abimbola Runsewe, Clinical Director(443) 272-7858
Specialties & taxonomies
Behavioral Health & Social Service Providers
Practice location
3608 Milford Mill Rd
Windsor Mill, MD 21244-3328
Phone: (443) 272-7858
Fax: (443) 405-7137
Approximate (ZIP-level) locationGet directions
Mailing address
3608 Milford Mill Rd
Windsor Mill, MD 21244-3328
Registry dates
- Enumerated
- 2022-08-17
- Last updated
- 2025-09-11
- Certified
- 2022-08-17
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.