Healthcare Provider Details

I. General information

NPI: 1881447225
Provider Name (Legal Business Name): ALIJAH M MUNOZ
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/08/2024
Last Update Date: 09/09/2026
Certification Date: 09/09/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1 INVENTA PL STE 200W
SILVER SPRING MD
20910-5171
US

IV. Provider business mailing address

1436 MERIDIAN PL NW APT 402
WASHINGTON DC
20010-1935
US

V. Phone/Fax

Practice location:
  • Phone: 204-502-3024
  • Fax:
Mailing address:
  • Phone: 771-242-9996
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: