Provider Demographics
NPI:1679729172
Name:RIANHARD, AMY H (MED, BCBA)
Entity Type:Individual
Prefix:MS
First Name:AMY
Middle Name:H
Last Name:RIANHARD
Suffix:
Gender:F
Credentials:MED, BCBA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3567 CATTAIL CREEK DR
Mailing Address - Street 2:
Mailing Address - City:GLENWOOD
Mailing Address - State:MD
Mailing Address - Zip Code:21738-9607
Mailing Address - Country:US
Mailing Address - Phone:410-489-4769
Mailing Address - Fax:
Practice Address - Street 1:3567 CATTAIL CREEK DR
Practice Address - Street 2:
Practice Address - City:GLENWOOD
Practice Address - State:MD
Practice Address - Zip Code:21738-9607
Practice Address - Country:US
Practice Address - Phone:410-489-4769
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-08-15
Last Update Date:2008-08-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD1-07-3277101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health