Individual
MR. ANTHONY DANIEL ALTAMIRANO BAUTISTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
10770 COLUMBIA PIKE STE 105, SILVER SPRING, MD 20901-4402
(703) 237-2219
Mailing address
13804 OLD COLUMBIA PIKE, SILVER SPRING, MD 20904-4554
(301) 908-4779
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
05/04/2023
Last updated
05/04/2023
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