Naana Asiedu

Individual provider Active NPI Behavior Technician · Crofton, MD

NPI 1003385584 · NPPES record last updated Nov 14, 2019

Key facts

NPI
1003385584
Entity type
Individual (NPI type 1)
Primary specialty
Behavior Technician 106S00000X
Practice address
1651 Crofton Blvd Ste 6
Crofton, MD 21114
Phone
(410) 656-6264
NPI assigned
Nov 14, 2018
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Technician 106S00000X Yes

Addresses

Primary practice location

1651 Crofton Blvd Ste 6
Crofton, MD 21114

Mailing address

1651 Crofton Blvd Ste 6
Crofton, MD 21114-1314

Other practice location 1

1919 West St Ste 201
Annapolis, MD 21401
Phone (410) 656-6267

Other providers in Crofton, MD

All providers in Crofton, MD · Behavior Technician in Maryland

Sources for this page

Verify at the official NPI Registry.