Provider Demographics
NPI:1215475835
Name:POET, ANNE M (MED LBA BCBA)
Entity type:Individual
Prefix:
First Name:ANNE
Middle Name:M
Last Name:POET
Suffix:
Gender:F
Credentials:MED LBA BCBA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:16619 HUNTERS GREEN PKWY STE 100
Mailing Address - Street 2:
Mailing Address - City:HAGERSTOWN
Mailing Address - State:MD
Mailing Address - Zip Code:21740-2194
Mailing Address - Country:US
Mailing Address - Phone:540-207-1798
Mailing Address - Fax:
Practice Address - Street 1:16619 HUNTERS GREEN PKWY STE 100
Practice Address - Street 2:
Practice Address - City:HAGERSTOWN
Practice Address - State:MD
Practice Address - Zip Code:21740-2194
Practice Address - Country:US
Practice Address - Phone:866-287-2036
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-02-02
Last Update Date:2023-11-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDLBA613103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst