Healthcare Provider Details

I. General information

NPI: 1538896139
Provider Name (Legal Business Name): ANNA KALMUS
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/03/2022
Last Update Date: 07/13/2026
Certification Date: 08/03/2022
Deactivation Date: 12/16/2025
Reactivation Date: 07/13/2026

III. Provider practice location address

7090 SAMUEL MORSE DR STE 100
COLUMBIA MD
21046-3444
US

IV. Provider business mailing address

7090 SAMUEL MORSE DR STE 100
COLUMBIA MD
21046-3444
US

V. Phone/Fax

Practice location:
  • Phone: 443-938-3583
  • 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: