| Anne Arundel Medical Group Behavioral Health Specialists | |
|
2635 Riva Rd Annapolis MD 21401-7430 | |
| (443) 481-6549 | |
| (443) 481-6515 |
| Full Name | Anne Arundel Medical Group Behavioral Health Specialists |
|---|---|
| Speciality | Behavior Analyst |
| Location | 2635 Riva Rd, Annapolis, Maryland |
| Authorized Official Name and Position | Peter Odenwald (VICE PRESIDENT) |
| Authorized Official Contact | 4434816415 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Anne Arundel Medical Group Behavioral Health Specialists Po Box 12622 Belfast ME 04915 Ph: (443) 481-6549 | Anne Arundel Medical Group Behavioral Health Specialists 2635 Riva Rd Annapolis MD 21401-7430 Ph: (443) 481-6549 |
| NPI Number | 1922477256 |
|---|---|
| Provider Enumeration Date | 09/16/2015 |
| Last Update Date | 05/24/2021 |
| Certification Date | 05/24/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1922477256 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | (* (Not Available)) | Primary |
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