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NPI Code Detail

MEDICARE: ODICHIMMA OBIAJULU

MEDICARE: ODICHIMMA OBIAJULU
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 : 1326904210
Entity Type Code : Individual
Provider Name (Legal Business Name) : ODICHIMMA OBIAJULU
Provider Business Mailing Address
First Line : 4600 POWDER MILL RD STE 250
Second Line :
City : BELTSVILLE
State : MD
Zip : 20705-2688
Country : US
Telephone Number : 301-477-7194
Fax Number :
Provider Business Practice Location Address
First Line : 4600 POWDER MILL RD STE 250
Second Line :
City : BELTSVILLE
State : MD
Zip : 20705-2688
Country : US
Telephone Number : 301-477-7194
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/05/2026
Last Update Date : 01/05/2026

Similar Medicare Providers

1447119045 — GEORNEY MILLER
Practice Location Address:
4600 POWDER MILL RD STE 250
BELTSVILLE, MD
20705-2688
Practice Phone: 301-477-7194
Practice Fax:
1083573687 — MIRIAM GALGON
Practice Location Address:
4600 POWDER MILL RD STE 250
BELTSVILLE, MD
20705-2688
Practice Phone: 301-477-7194
Practice Fax:
1609732593 — SHAYLIE ALLMOND
Practice Location Address:
4600 POWDER MILL RD STE 250
BELTSVILLE, MD
20705-2688
Practice Phone: 301-477-7194
Practice Fax:
1568908796 — SARAH PATRICIA WRIGHT M.A.
Practice Location Address:
4600 POWDER MILL RD STE 250
BELTSVILLE, MD
20705-2688
Practice Phone: 973-262-1737
Practice Fax:
1033718945 — BRITTANY BROOKS
Practice Location Address:
4600 POWDER MILL RD STE 250
BELTSVILLE, MD
20705-2688
Practice Phone: 240-342-2666
Practice Fax:
1669124947 — ELIZABETH A REID
Practice Location Address:
4600 POWDER MILL RD STE 250
BELTSVILLE, MD
20705-2688
Practice Phone: 301-327-5199
Practice Fax:

Directions to “ ODICHIMMA OBIAJULU ” Practice Location

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