Individual
ANDRE BISIMWA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
500 REDLAND CT STE 102, OWINGS MILLS, MD 21117-3265
(202) 768-5845
Mailing address
4 TOWNRIDGE CT APT H, NOTTINGHAM, MD 21236-3525
(202) 768-5845
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
03/18/2022
Last updated
03/18/2022
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