Healthcare Provider Details
I. General information
NPI: 1194637942
Provider Name (Legal Business Name): HINDIA MOHAMMED
Entity Type: Individual
Gender: Female
Sole Proprietor: Y
II. Dates (important events)
Enumeration Date: 09/17/2026
Last Update Date: 09/17/2026
Certification Date: 09/17/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
2925 SUMMER HILL DR
WEST FRIENDSHIP MD
21794-9538
US
IV. Provider business mailing address
10901 AMHERST AVE APT 144
SILVER SPRING MD
20902-4330
US
V. Phone/Fax
- Phone: 443-687-0564
- Fax:
- Phone: 240-598-8919
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 106S00000X |
| Taxonomy | Behavior Technician |
| License Number | |
| License Number State | NULL |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: