Active NPI
Anthony Daniel Altamirano Bautista
- Behavior Technician
- Silver Spring, MD
National Provider Identifier
1528757572
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Technician
- Practice address
- 10770 Columbia Pike Ste 105
Silver Spring, MD 20901-4402 - Phone
- (703) 237-2219
- NPI assigned
- May 4, 2023
- Sex
- Male
- 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 | Primary |
Addresses
Primary practice location
10770 Columbia Pike Ste 105
Silver Spring, MD 20901-4402
Mailing address
13804 Old Columbia Pike
Silver Spring, MD 20904-4554
Phone (301) 908-4779
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": "1683158400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1683158400000",
"number": "1528757572",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "13804 OLD COLUMBIA PIKE",
"city": "SILVER SPRING",
"state": "MD",
"postal_code": "209044554",
"telephone_number": "301-908-4779"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10770 COLUMBIA PIKE STE 105",
"city": "SILVER SPRING",
"state": "MD",
"postal_code": "209014402",
"telephone_number": "703-237-2219"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ALTAMIRANO BAUTISTA",
"first_name": "ANTHONY",
"middle_name": "DANIEL",
"name_prefix": "Mr.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2023-05-04",
"last_updated": "2023-05-04",
"certification_date": "2023-05-04",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Silver Spring, MD
- Andrew Quiroga Alonzo, PHARM.D.
- Alpha Allergy & Asthma Associates, LLC
- Alpha Therapy, LLC
- Ronaleen Alquiza
- Alta Mobil Health Care Services LLC
- Tara A Altepeter, MD
- Alternative Primary Care
- Althea Woodland, Inc. (Althea Woodland Nursing Home)
- Altruist Healthcare Incorporated
- Altruist Healthcare Incorporated
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.