Healthcare Provider Details

I. General information

NPI: 1891613782
Provider Name (Legal Business Name): ASHLEY MCFADDEN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/08/2026
Last Update Date: 07/08/2026
Certification Date: 07/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10770 COLUMBIA PIKE STE 300
SILVER SPRING MD
20901-4439
US

IV. Provider business mailing address

6408 ELRAY DR APT A
BALTIMORE MD
21209-2938
US

V. Phone/Fax

Practice location:
  • Phone: 443-590-9960
  • Fax:
Mailing address:
  • Phone: 443-590-9960
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106S00000X
TaxonomyBehavior Technician
License Number25-457533
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: