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NPI Code Detail

MEDICARE: INGRID VENTURA

MEDICARE:   INGRID  VENTURA
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 : 1497260715
Entity Type Code : Individual
Provider Name (Legal Business Name) : INGRID VENTURA
Provider Business Mailing Address
First Line : 5300 WESTVIEW DR STE 200
Second Line :
City : FREDERICK
State : MD
Zip : 21703-8303
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 5300 WESTVIEW DR STE 200
Second Line :
City : FREDERICK
State : MD
Zip : 21703-8303
Country : US
Telephone Number : 240-247-0977
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/08/2017
Last Update Date : 01/17/2020

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Directions to “ INGRID VENTURA ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.