Active NPI
Ange Christelle Y Traore
- Behavior Technician
- Germantown, MD
National Provider Identifier
1417440454
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Technician
- Practice address
- 19522 Crystal Rock Dr Apt 11
Germantown, MD 20874-4985 - Phone
- (240) 513-9537
- NPI assigned
- Jun 13, 2018
- Last updated
- Jun 13, 2018
- Sex
- Female
- Sole proprietor
- Yes
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 | NU | Primary |
Addresses
Primary practice location
19522 Crystal Rock Dr Apt 11
Germantown, MD 20874-4985
Mailing address
19522 Crystal Rock Dr Apt 11
Germantown, MD 20874-4985
Phone (240) 513-9537
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1528848000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1528848000000",
"number": "1417440454",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "19522 CRYSTAL ROCK DR APT 11",
"city": "GERMANTOWN",
"state": "MD",
"postal_code": "208744985",
"telephone_number": "240-513-9537"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "19522 CRYSTAL ROCK DR APT 11",
"city": "GERMANTOWN",
"state": "MD",
"postal_code": "208744985",
"telephone_number": "240-513-9537"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TRAORE",
"first_name": "ANGE CHRISTELLE",
"middle_name": "Y",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-06-13",
"last_updated": "2018-06-13",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Germantown, MD
- Sanam Evelyn Toufanian, D.D.S.
- Ashley Cecelia Toy
- Tran & Le DDS LLC (TLC modern dentistry)
- Bich Ngoc T Tran, PHARMD
- Trans-Atlantic Health Organization, LLC.
- Tri Rehab of Germantown, Inc. (Polcari Therapy Services)
- Patricia Kay Trippett, RPH
- Tru Health Group, PC
- John Francisco Trujillo, M.D.
- Allen Tsaur, L. AC.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.