Individual
ANTIONETTE C MADDOX
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
9500 ANNAPOLIS RD STE B2, LANHAM, MD 20706-2062
(301) 850-1148
(866) 250-3233
Mailing address
9500 ANNAPOLIS RD STE B2, LANHAM, MD 20706-2062
(301) 850-1148
(866) 250-3233
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
01/17/2018
Last updated
01/17/2018
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