Healthcare Provider Details

I. General information

NPI: 1366077489
Provider Name (Legal Business Name): ARTHUR WILLIAM PLUMMER
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/09/2020
Last Update Date: 02/19/2026
Certification Date: 02/19/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

23 THOMAS SHILLING CT
UPPERCO MD
21155-9334
US

IV. Provider business mailing address

8107 HARRIS AVE
PARKVILLE MD
21234-5425
US

V. Phone/Fax

Practice location:
  • Phone: 410-818-8942
  • Fax:
Mailing address:
  • Phone: 443-916-2909
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License NumberLBA1186
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: