Active NPI
Antony Otieno Odhiambo
- Behavior Technician
- Silver Spring, MD
National Provider Identifier
1720506025
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Technician
- Practice address
- 1606 University Blvd W
Silver Spring, MD 20902-3649 - Phone
- (240) 815-3480
- NPI assigned
- Sep 7, 2017
- Last updated
- Feb 4, 2026
- 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 | MD | Primary |
Addresses
Primary practice location
1606 University Blvd W
Silver Spring, MD 20902-3649
Mailing address
1606 University Blvd W
Silver Spring, MD 20902-3649
Phone (240) 815-3480
Other practice location 1
1606 University Blvd W
Silver Spring, MD 20902-3649
Phone (240) 815-3480
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0351067668254 | Other | MD | DRIVE'S LICENSE NO |
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": "1504742400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1770163200000",
"number": "1720506025",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1606 UNIVERSITY BLVD W",
"city": "SILVER SPRING",
"state": "MD",
"postal_code": "209023649",
"telephone_number": "240-815-3480"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1606 UNIVERSITY BLVD W",
"city": "SILVER SPRING",
"state": "MD",
"postal_code": "209023649",
"telephone_number": "240-815-3480"
}
],
"practiceLocations": [
{
"address_1": "1606 University Blvd W",
"address_purpose": "LOCATION",
"city": "Silver Spring",
"state": "MD",
"postal_code": "209023649",
"country_code": "US",
"telephone_number": "240-815-3480",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ODHIAMBO",
"first_name": "ANTONY",
"middle_name": "OTIENO",
"name_prefix": "Mr.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2017-09-07",
"last_updated": "2026-02-04",
"certification_date": "2026-02-04",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": "MD",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DRIVE'S LICENSE NO",
"identifier": "0351067668254",
"state": "MD"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Silver Spring, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.