Healthcare Provider Details

I. General information

NPI: 1457046443
Provider Name (Legal Business Name): LINDA ATUD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/06/2023
Last Update Date: 03/23/2026
Certification Date: 03/23/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3905 BLACKBURN LN APT 44
BURTONSVILLE MD
20866-1247
US

IV. Provider business mailing address

3905 BLACKBURN LN APT 44
BURTONSVILLE MD
20866-1247
US

V. Phone/Fax

Practice location:
  • Phone: 240-444-9420
  • Fax:
Mailing address:
  • Phone: 240-444-9420
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code104100000X
TaxonomySocial Worker
License Number
License Number StateNULL
# 2
Primary TaxonomyN
Taxonomy Code171M00000X
TaxonomyCase Manager/Care Coordinator
License Number
License Number StateNULL
# 3
Primary TaxonomyY
Taxonomy Code106S00000X
TaxonomyBehavior Technician
License Number
License Number StateNULL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: