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NPI Code Detail

MEDICARE: DENISE NICOLE TALLEY-NWOSU

MEDICARE: DENISE NICOLE TALLEY-NWOSU
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
1106S00000XBehavior Technician

General Provider Information

NPI Number : 1194663658
Entity Type Code : Individual
Provider Name (Legal Business Name) : DENISE NICOLE TALLEY-NWOSU
Provider Business Mailing Address
First Line : 115 SUDBROOK LN STE A
Second Line :
City : PIKESVILLE
State : MD
Zip : 21208-4184
Country : US
Telephone Number : 443-353-9547
Fax Number :
Provider Business Practice Location Address
First Line : 115 SUDBROOK LN STE F
Second Line :
City : PIKESVILLE
State : MD
Zip : 21208-4184
Country : US
Telephone Number : 443-353-9547
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/24/2026
Last Update Date : 03/24/2026

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Directions to “ DENISE NICOLE TALLEY-NWOSU ” Practice Location

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