Amy Kathleen Buddemeier
Individual provider Active NPI Behavior Technician · Whiteford, MD
NPI 1124648308 · NPPES record last updated Apr 17, 2020
Key facts
- NPI
- 1124648308
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Behavior Technician 106S00000X
- Practice address
- 1515 Main St
Whiteford, MD 21160-1226 - Phone
- (443) 807-7023
- NPI assigned
- Apr 17, 2020
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | Yes |
Addresses
Primary practice location
1515 Main St
Whiteford, MD 21160-1226
Mailing address
1515 Main St
Whiteford, MD 21160-1226
Phone (443) 807-7023
Other providers in Whiteford, MD
- Tracy Dale Bearsch
- County Therapy Associates, LLC
- Mary Bernadette Martello
- Mary Patricia Matejka
- Christopher Alexander Psaros
- Saubels Market LLC
All providers in Whiteford, MD · Behavior Technician in Maryland
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 17, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.