Madyson Agnone
Individual provider Active NPI Behavior Analyst · Pikesville, MD
NPI 1407670474 · NPPES record last updated Nov 22, 2024
Key facts
- NPI
- 1407670474
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Behavior Analyst 103K00000X
- Practice address
- 115 Sudbrook LN Ste F
Pikesville, MD 21208-4184 - Phone
- (443) 353-9547
- NPI assigned
- Nov 14, 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | 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
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- Kiara Agoncillo
- Janelle Amponsaa Agyarko
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- Hyejeong Ahn
All providers in Pikesville, MD · Behavior Analyst in Maryland
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 22, 2024. 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.