MEDICARE: JOSIANNA MARIE WINNINGS

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	106S00000X	Behavior Technician

General Provider Information

NPI Number	:	1124728035
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JOSIANNA MARIE WINNINGS

Provider Business Mailing Address
First Line	:	8616 YELLOW SPRINGS RD
Second Line	:
City	:	FREDERICK
State	:	MD
Zip	:	21702-2438
Country	:	US
Telephone Number	:	540-398-7606
Fax Number	:

Provider Business Practice Location Address
First Line	:	8616 YELLOW SPRINGS RD
Second Line	:
City	:	FREDERICK
State	:	MD
Zip	:	21702-2438
Country	:	US
Telephone Number	:	540-398-7606
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/08/2023
Last Update Date	:	03/08/2023

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Directions to “ JOSIANNA MARIE WINNINGS ” Practice Location

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