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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

ELISHA PODDAM

Active Sole Proprietor

ELISHA PODDAM is a Behavioral Health Technician healthcare provider located in FULTON, Maryland. NPI 1568315224 is currently active in the NPPES registry. Verify at CMS.

Behavioral Health Technician · FULTON, MD

Registration Details

NPI Number
1568315224
Provider Type
Individual
Gender
Female
NPI Issued
Feb 20, 2026 (0.50808894556377 yrs)
Last Updated
Feb 20, 2026
Sole Proprietor
Yes

Practice Information

Address
8115 MAPLE LAWN BLVD STE 350
FULTON, MD, 207592683
Browse MD providers · Browse ZIP 20759
Phone
2704013264
Primary Specialty
Behavioral Health Technician
374700000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.