Healthcare Provider Details

I. General information

NPI: 1063336204
Provider Name (Legal Business Name): ABENAAH FRIMPONG
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/10/2026
Last Update Date: 08/10/2026
Certification Date: 08/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

185 HARRY S TRUMAN PKWY STE 10
ANNAPOLIS MD
21401-7580
US

IV. Provider business mailing address

8524 GOLDEN EAGLE LN
SEVERN MD
21144-3156
US

V. Phone/Fax

Practice location:
  • Phone: 410-673-4965
  • Fax:
Mailing address:
  • Phone: 443-410-5566
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106S00000X
TaxonomyBehavior Technician
License Number
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: