Etheridge, Danitra

Etheridge, Danitra is an individual health care provider with primary practice located at 9250 Gaither Rd , Gaithersburg MD 20877-1420. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Behavior Technician, Behavioral Health & Social Service Providers / Behavioral Analyst. Behavioral Health & Social Service Providers / Behavioral Analyst is her primary health care specialty. Etheridge, Danitra can be contacted via phone (570) 802-3099.

Contact Information

Primary practice address
9250 Gaither Rd Gaithersburg MD 20877-1420
Phone: (570) 802-3099
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Behavior Technician 106S00000X
Behavioral Health & Social Service Providers / Behavioral Analyst 103K00000X

Profile Details

NPI number 1336660224
LBN Legal business name Etheridge, Danitra
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 29th, 2017
Last updated Sep 27th, 2022 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1336660224 NPPES
Maryland Other 906931804 UNITED HEALTH CARE

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