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NPI Code Detail

MEDICARE: ADLIANA PONAA TIZALA

MEDICARE: ADLIANA PONAA TIZALA
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 : 1427917194
Entity Type Code : Individual
Provider Name (Legal Business Name) : ADLIANA PONAA TIZALA
Provider Business Mailing Address
First Line : 104 EGYPT FARMS RD
Second Line :
City : OWINGS MILLS
State : MD
Zip : 21117-5052
Country : US
Telephone Number : 443-744-7115
Fax Number :
Provider Business Practice Location Address
First Line : 104 EGYPT FARMS RD
Second Line :
City : OWINGS MILLS
State : MD
Zip : 21117-5052
Country : US
Telephone Number : 443-744-7115
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/19/2026
Last Update Date : 01/19/2026

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Directions to “ ADLIANA PONAA TIZALA ” Practice Location

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