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NPI Code Detail

MEDICARE: MISS ANGELA MICHELLE MALO

MEDICARE:  MISS ANGELA MICHELLE MALO
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
1103K00000XBehavior AnalystLBA432MD
2103TC2200XClinical Child & Adolescent Psychologist6361000361MI
3103K00000XBehavior Analyst0133000950VA

General Provider Information

NPI Number : 1629327226
Entity Type Code : Individual
Provider Name (Legal Business Name) : MISS ANGELA MICHELLE MALO
Provider Business Mailing Address
First Line : 9727 GEORGIA AVE
Second Line :
City : SILVER SPRING
State : MD
Zip : 20910-1458
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1600 N BEAUREGARD ST STE 100
Second Line :
City : ALEXANDRIA
State : VA
Zip : 22311-1732
Country : US
Telephone Number : 202-420-8359
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/29/2012
Last Update Date : 01/20/2022

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Directions to “ MISS ANGELA MICHELLE MALO ” Practice Location

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