Healthcare Provider Details

I. General information

NPI: 1346057627
Provider Name (Legal Business Name): HANNAH B MAHOWALD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/11/2024
Last Update Date: 10/07/2026
Certification Date: 10/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1750 FOREST DR STE 160
ANNAPOLIS MD
21401-4211
US

IV. Provider business mailing address

1750 FOREST DR STE 160
ANNAPOLIS MD
21401-4211
US

V. Phone/Fax

Practice location:
  • Phone: 888-344-5977
  • Fax:
Mailing address:
  • Phone: 888-344-5977
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106S00000X
TaxonomyBehavior Technician
License NumberRBT-25-479627
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: