Individual
MIRIAM ASIKAOGU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
9400 BUENA VISTA AVE, LANHAM, MD 20706-3006
(240) 615-6942
Mailing address
9400 BUENA VISTA AVE, LANHAM, MD 20706-3006
(240) 615-6942
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
—
—
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
08/18/2022
Last updated
05/05/2023
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