Provider Demographics
NPI:1497453229
Name:BATTLE, MARGARET ANGELITIA
Entity Type:Individual
Prefix:
First Name:MARGARET
Middle Name:ANGELITIA
Last Name:BATTLE
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7375 EXECUTIVE PL STE 203
Mailing Address - Street 2:
Mailing Address - City:LANHAM
Mailing Address - State:MD
Mailing Address - Zip Code:20706-6236
Mailing Address - Country:US
Mailing Address - Phone:240-935-3667
Mailing Address - Fax:
Practice Address - Street 1:7375 EXECUTIVE PL STE 203
Practice Address - Street 2:
Practice Address - City:LANHAM
Practice Address - State:MD
Practice Address - Zip Code:20706-6236
Practice Address - Country:US
Practice Address - Phone:240-935-3667
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-02-21
Last Update Date:2023-02-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
106S00000X
MDB-340-586-067-376106S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician