Most Relevant Information
Provider Data
| NPI Number: | 1003392150 |
| Provider Name: | JOHN AMADA |
| Entity Type: | Individual |
| Taxonomy Code: | 106S00000X |
| Specialty: | Behavior Technician |
| License Number: |
Most Important Dates
| Enumeration Date: | 07/12/2018 |
| Last Updated: | 05/10/2021 |
Provider Practice Location
8200 PROFESSIONAL PL STE 115
LANDOVER
MD
207852293
Practice Location Phone/Fax
| Phone: | 2402973550 |
| Fax: |
Provider Mailing Location
8200 PROFESSIONAL PL STE 115
LANDOVER
MD
207852293
Provider Mailing Phone/Fax
| Phone: | 2402973550 |
| Fax: |