Healthcare Provider Details

I. General information

NPI: 1174437339
Provider Name (Legal Business Name): BRIANNA SALIDAO
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/02/2026
Last Update Date: 10/02/2026
Certification Date: 10/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5630 FISHERS LN STE 201
ROCKVILLE MD
20857-0001
US

IV. Provider business mailing address

18625 SHADY VIEW LN
BROOKEVILLE MD
20833-2818
US

V. Phone/Fax

Practice location:
  • Phone: 301-580-8810
  • Fax:
Mailing address:
  • Phone: 301-580-8810
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: