MEDICARE: EHIMWENMA ATOE

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	106S00000X	Behavior Technician

General Provider Information

NPI Number	:	1366276313
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	EHIMWENMA ATOE

Provider Business Mailing Address
First Line	:	7578 RAIN FLOWER WAY
Second Line	:
City	:	COLUMBIA
State	:	MD
Zip	:	21046-2454
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	7578 RAIN FLOWER WAY
Second Line	:
City	:	COLUMBIA
State	:	MD
Zip	:	21046-2454
Country	:	US
Telephone Number	:	240-374-2473
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/30/2024
Last Update Date	:	08/30/2024

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Directions to “ EHIMWENMA ATOE ” Practice Location

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