Healthcare Provider Details

I. General information

NPI: 1225967557
Provider Name (Legal Business Name): MEYITA JANELE STEWART
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/14/2026
Last Update Date: 05/14/2026
Certification Date: 05/14/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5625 FRANKFORD AVE APT C4
BALTIMORE MD
21206-6190
US

IV. Provider business mailing address

5625 FRANKFORD AVE APT C4
BALTIMORE MD
21206-6190
US

V. Phone/Fax

Practice location:
  • Phone: 443-845-9490
  • Fax:
Mailing address:
  • Phone: 443-845-9490
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106S00000X
TaxonomyBehavior Technician
License NumberS-363-599-368-998
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: