Heaven Abraha

Individual provider Active NPI Behavior Technician · Pikesville, MD

NPI 1043037039 · NPPES record last updated Sep 23, 2024

Key facts

NPI
1043037039
Entity type
Individual (NPI type 1)
Primary specialty
Behavior Technician 106S00000X
Practice address
115 Sudbrook LN Ste F
Pikesville, MD 21208-4184
Phone
(443) 353-9547
NPI assigned
Sep 23, 2024
Sex
Female
Sole proprietor
No

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

115 Sudbrook LN Ste F
Pikesville, MD 21208-4184

Mailing address

115 Sudbrook LN Ste F
Pikesville, MD 21208-4184
Phone (443) 353-9547

Other providers in Pikesville, MD

All providers in Pikesville, MD · Behavior Technician in Maryland

Sources for this page

Verify at the official NPI Registry.