Healthcare Provider Details

I. General information

NPI: 1184564551
Provider Name (Legal Business Name): ACANTHA BIANCA JEUNE JOSEPH
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/28/2026
Last Update Date: 03/30/2026
Certification Date: 03/30/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1147 S SALISBURY BLVD STE 8-143
SALISBURY MD
21801-6865
US

IV. Provider business mailing address

533 COVENTRY LN APT 257
SALISBURY MD
21804-7712
US

V. Phone/Fax

Practice location:
  • Phone: 855-832-6727
  • Fax:
Mailing address:
  • Phone: 443-735-2039
  • 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: