Most Relevant Information
Provider Data
NPI Number: | 1003548132 |
Provider Name: | AMARI GANTT |
Entity Type: | Individual |
Taxonomy Code: | 106S00000X |
Specialty: | Behavior Technician |
License Number: |
Most Important Dates
Enumeration Date: | 06/28/2022 |
Last Updated: | 06/28/2022 |
Provider Practice Location
8200 PROFESSIONAL PL STE 115
LANDOVER
MD
207852293
Practice Location Phone/Fax
Phone: | 8667278274 |
Fax: |
Provider Mailing Location
8200 PROFESSIONAL PL STE 115
LANDOVER
MD
207852293
Provider Mailing Phone/Fax
Phone: | 8667278274 |
Fax: |