Individual
ANTONIA O F L MACCORMACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
405 WILLIAMS CT STE 120, MIDDLE RIVER, MD 21220-2892
(718) 215-5311
(718) 865-5165
Mailing address
PO BOX 360595, PITTSBURGH, PA 15251-6595
(718) 215-5311
(718) 865-5165
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
04/16/2026
Last updated
04/23/2026
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