Healthcare Provider Details

I. General information

NPI: 1003725326
Provider Name (Legal Business Name): FIRST CLASS ACADEMY INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/02/2026
Last Update Date: 09/02/2026
Certification Date: 09/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4012 DIAMONDHEAD AVE
BOWIE MD
20721-1308
US

IV. Provider business mailing address

4012 DIAMONDHEAD AVE
BOWIE MD
20721-1308
US

V. Phone/Fax

Practice location:
  • Phone: 202-553-9424
  • Fax:
Mailing address:
  • Phone: 202-553-9424
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code174H00000X
TaxonomyHealth Educator
License Number
License Number State

VIII. Authorized Official

Name: MS. TIFFANY RAY
Title or Position: OWNER
Credential: APC
Phone: 240-398-0304