Healthcare Provider Details

I. General information

NPI: 1477409670
Provider Name (Legal Business Name): ALEIDIA QUINONES
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/09/2026
Last Update Date: 03/09/2026
Certification Date: 03/09/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1534 CARSWELL ST # T1
BALTIMORE MD
21218-4903
US

IV. Provider business mailing address

4318 CEDAR GARDEN RD # T1
BALTIMORE MD
21229-4503
US

V. Phone/Fax

Practice location:
  • Phone: 667-487-2067
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: