Individual
ANTHONY MADONNA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
7090 SAMUEL MORSE DR STE 100, COLUMBIA, MD 21046-3444
(862) 432-7525
Mailing address
7090 SAMUEL MORSE DR STE 100, COLUMBIA, MD 21046-3444
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
04/05/2021
Last updated
04/05/2021
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