Individual
ANGELA MARIA GARDINER II
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BA
Contact information
Practice address
9500 ANNAPOLIS RD STE C2, LANHAM, MD 20706-2073
(703) 801-6811
Mailing address
9500 ANNAPOLIS RD, LANHAM, MD 20706-2060
(301) 850-1148
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
T66195596
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
T66195596
—
VA
Enumeration date
09/20/2022
Last updated
09/22/2022
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