Kassie Sines

Individual provider Active NPI Assistant Behavior Analyst · White Marsh, MD

NPI 1497470249 · NPPES record last updated Oct 4, 2022

Key facts

NPI
1497470249
Entity type
Individual (NPI type 1)
Primary specialty
Assistant Behavior Analyst 106E00000X
Practice address
5602 Bangert St
White Marsh, MD 21162-1134
Phone
(443) 894-7936
NPI assigned
Oct 4, 2022
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
Assistant Behavior Analyst 106E00000X MD Yes

Addresses

Primary practice location

5602 Bangert St
White Marsh, MD 21162-1134

Mailing address

5602 Bangert St
White Marsh, MD 21162-1134

Other providers in White Marsh, MD

All providers in White Marsh, MD · Assistant Behavior Analyst in Maryland

Sources for this page

Verify at the official NPI Registry.