Healthcare Provider Details

I. General information

NPI: 1871400010
Provider Name (Legal Business Name): JOANNA MARIE LITTLEFORD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/25/2026
Last Update Date: 08/25/2026
Certification Date: 08/25/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

12120 PLUM ORCHARD DR
SILVER SPRING MD
20904-7820
US

IV. Provider business mailing address

5212 BROOK WAY
COLUMBIA MD
21044-1603
US

V. Phone/Fax

Practice location:
  • Phone: 240-468-4177
  • Fax:
Mailing address:
  • Phone: 240-930-7741
  • 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: