Active NPI
Angela Maria Gardiner II, BA
- Behavior Technician
- Lanham, MD
National Provider Identifier
1225751738
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Technician
- License
- T66195596
- Practice address
- 9500 Annapolis Rd Ste C2
Lanham, MD 20706-2073 - Phone
- (703) 801-6811
- NPI assigned
- Sep 20, 2022
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | T66195596 | VA | Primary |
Addresses
Primary practice location
9500 Annapolis Rd Ste C2
Lanham, MD 20706-2073
Mailing address
9500 Annapolis Rd
Lanham, MD 20706-2060
Phone (301) 850-1148
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| T66195596 | Medicaid | VA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Bachelor of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| T66195596 | VA | MD | Behavior Technician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1663632000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1663804800000",
"number": "1225751738",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9500 ANNAPOLIS RD",
"city": "LANHAM",
"state": "MD",
"postal_code": "207062060",
"telephone_number": "301-850-1148"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9500 ANNAPOLIS RD STE C2",
"city": "LANHAM",
"state": "MD",
"postal_code": "207062073",
"telephone_number": "703-801-6811"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GARDINER",
"first_name": "ANGELA",
"middle_name": "MARIA",
"name_suffix": "II",
"credential": "BA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-09-20",
"last_updated": "2022-09-22",
"certification_date": "2022-09-22",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": "VA",
"license": "T66195596",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "T66195596",
"state": "VA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Lanham, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.