Provider Demographics
NPI:1851927966
Name:FLAHERTY, ALANNA NOELLE
Entity Type:Individual
Prefix:
First Name:ALANNA
Middle Name:NOELLE
Last Name:FLAHERTY
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 1:222 ONLEY RD APT 207
Mailing Address - Street 2:
Mailing Address - City:SALISBURY
Mailing Address - State:MD
Mailing Address - Zip Code:21804-7063
Mailing Address - Country:US
Mailing Address - Phone:443-653-4288
Mailing Address - Fax:
Practice Address - Street 1:222 ONLEY RD APT 207
Practice Address - Street 2:
Practice Address - City:SALISBURY
Practice Address - State:MD
Practice Address - Zip Code:21804-7063
Practice Address - Country:US
Practice Address - Phone:443-653-4288
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-03-20
Last Update Date:2020-03-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD106S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician