Healthcare Provider Details

I. General information

NPI: 1609625649
Provider Name (Legal Business Name): AMA POKUA AFRAM LBA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/14/2024
Last Update Date: 07/06/2026
Certification Date: 07/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

11120 NEW HAMPSHIRE AVE
SILVER SPRING MD
20904-2633
US

IV. Provider business mailing address

14249 CASTLE BLVD
SILVER SPRING MD
20904-4701
US

V. Phone/Fax

Practice location:
  • Phone: 301-675-7866
  • Fax:
Mailing address:
  • Phone: 301-675-7866
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: