Individual
AMIENATA JARRA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
411 VALLEY MEADOW CIR, REISTERSTOWN, MD 21136-1583
(240) 274-6825
Mailing address
411 VALLEY MEADOW CIR APT B4, REISTERSTOWN, MD 21136-1507
(240) 274-6825
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
09/13/2020
Last updated
09/13/2020
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