Charles Amadi

Individual provider Active NPI Behavior Technician · Nottingham, MD

NPI 1891545562 · NPPES record last updated Mar 25, 2024

Key facts

NPI
1891545562
Entity type
Individual (NPI type 1)
Primary specialty
Behavior Technician 106S00000X
Practice address
7939 Honeygo Blvd Ste 127
Nottingham, MD 21236-5905
Phone
(866) 727-8274
NPI assigned
Mar 25, 2024
Sex
Male
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)CodeLicenseStatePrimary
Behavior Technician 106S00000X Yes

Addresses

Primary practice location

7939 Honeygo Blvd Ste 127
Nottingham, MD 21236-5905

Mailing address

7939 Honeygo Blvd Ste 127
Nottingham, MD 21236-5905
Phone (866) 727-8274

Other providers in Nottingham, MD

All providers in Nottingham, MD · Behavior Technician in Maryland

Sources for this page

Verify at the official NPI Registry.