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NPI Code Detail

MEDICARE: ACORN HEALTH OF MARYLAND LLC

MEDICARE: ACORN HEALTH OF MARYLAND LLC
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
1103K00000XBehavior Analyst

General Provider Information

NPI Number : 1548088479
Entity Type Code : Organization
Provider Name (Legal Business Name) : ACORN HEALTH OF MARYLAND LLC
Provider Business Mailing Address
First Line : 1500 S DOUGLAS RD STE 230
Second Line :
City : CORAL GABLES
State : FL
Zip : 33134-4108
Country : US
Telephone Number : 844-244-1818
Fax Number :
Provider Business Practice Location Address
First Line : 890 AIRPORT PARK RD STE 100
Second Line :
City : GLEN BURNIE
State : MD
Zip : 21061-2561
Country : US
Telephone Number : 844-244-1818
Fax Number :
Authorized Official
Title or Position : CREDENTIALING MANAGER
Name : KAREN ARTEAGA
Credential :
Telephone Number : 844-244-1818
Provider Enumeration Date : 09/30/2024
Last Update Date : 09/30/2024

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Directions to “ACORN HEALTH OF MARYLAND LLC ” Practice Location

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