Olivia Balungi

Individual provider Active NPI Behavior Technician · Washington, DC

NPI 1366040461 · NPPES record last updated Nov 17, 2020

Key facts

NPI
1366040461
Entity type
Individual (NPI type 1)
Primary specialty
Behavior Technician 106S00000X
Practice address
1200 G St NW Ste 800
Washington, DC 20005-6705
Phone
(202) 794-7159
NPI assigned
Oct 12, 2020
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Technician 106S00000X Yes

Addresses

Primary practice location

1200 G St NW Ste 800
Washington, DC 20005-6705

Mailing address

18726 S Western Ave Ste 408
Gardena, CA 90248-3858

Other practice location 1

400 E Pratt St Fl 8
Baltimore, MD 21202-3180
Phone (410) 989-5485

Other providers in Washington, DC

All providers in Washington, DC · Behavior Technician in District of Columbia

Sources for this page

Verify at the official NPI Registry.