Aisha Amenra

NPI #1366953119 in Forestville, Maryland

Provider Information

NPI Number: 1366953119
Entity Type: Individual
Name: Aisha Amenra
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Technician
Enumeration Date: Oct 19, 2017
Last Updated: Oct 19, 2017

Practice Location

Address: 6561 PENNSYLVANIA AVE APT 202
City: Forestville
State: Maryland
ZIP Code: 20747-3054
Phone: (267) 495-6865

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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