Provider Demographics
NPI:1699318378
Name:GALINDO, ADELA I
Entity type:Individual
Prefix:
First Name:ADELA
Middle Name:I
Last Name:GALINDO
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:ADELA
Other - Middle Name:I
Other - Last Name:GALINDO
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:12 RANCH CT
Mailing Address - Street 2:
Mailing Address - City:NORTH POTOMAC
Mailing Address - State:MD
Mailing Address - Zip Code:20878-3827
Mailing Address - Country:US
Mailing Address - Phone:240-474-2012
Mailing Address - Fax:
Practice Address - Street 1:5300 WESTVIEW DR STE 200
Practice Address - Street 2:
Practice Address - City:FREDERICK
Practice Address - State:MD
Practice Address - Zip Code:21703-8303
Practice Address - Country:US
Practice Address - Phone:240-242-5865
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-10-24
Last Update Date:2024-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL106S00000X
MDLBA1691103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst
No106S00000XBehavioral Health & Social Service ProvidersBehavior Technician