Healthcare Provider Details

I. General information

NPI: 1679729172
Provider Name (Legal Business Name): AMY H RIANHARD M.ED, BCBA
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/15/2008
Last Update Date: 08/15/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3567 CATTAIL CREEK DR
GLENWOOD MD
21738-9607
US

IV. Provider business mailing address

3567 CATTAIL CREEK DR
GLENWOOD MD
21738-9607
US

V. Phone/Fax

Practice location:
  • Phone: 410-489-4769
  • Fax:
Mailing address:
  • Phone: 410-489-4769
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number1-07-3277
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: