Healthcare Provider Details

I. General information

NPI: 1235058132
Provider Name (Legal Business Name): ANUOLUWAPO ESTHER FALODUN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

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

III. Provider practice location address

200 WASHINGTON AVE
TOWSON MD
21204-4763
US

IV. Provider business mailing address

6815 MCCLEAN BLVD
PARKVILLE MD
21234-7259
US

V. Phone/Fax

Practice location:
  • Phone: 240-668-4415
  • Fax:
Mailing address:
  • Phone: 240-970-2937
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106S00000X
TaxonomyBehavior Technician
License Number
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: