Sylvia Ngum Fondikum

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

License

RBT-21-150883 Issued in MD

Practice address

649 Guilford Ave
Hagerstown, MD 21740-6349

Phone

(240) 651-9432

NPI assigned

Jan 12, 2021

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Creations Clinical Services, LLC

  • Community/Behavioral Health Agency
  • Hagerstown, MD
  • NPI 1811494958
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1610409600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1610409600000",
    "number": "1538758776",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7749 RIVERDALE RD APT 203",
            "city": "NEW CARROLLTON",
            "state": "MD",
            "postal_code": "207843918",
            "telephone_number": "202-840-3226"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "649 GUILFORD AVE",
            "city": "HAGERSTOWN",
            "state": "MD",
            "postal_code": "217406349",
            "telephone_number": "240-651-9432"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FONDIKUM",
        "first_name": "SYLVIA",
        "middle_name": "NGUM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-01-12",
        "last_updated": "2021-01-12",
        "certification_date": "2021-01-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "MD",
            "license": "RBT-21-150883",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• George Fogha, RN
• Adam Scott Fogle
• Donna Fogle, LCSWC
• Kaylee Folmer, LMSW
• Sylvie Mah Fon, NP
• Brooke Foor
• Foot and Ankle Specialists of the Mid-Atlantic, LLC
• Kelly Footen, FNP-C
• Forbs Behavioral Health Services LLC
• Amy J Foreman, PTA

• Behavior Technician in Hagerstown, MD
• Providers in Hagerstown, MD by specialty
• Behavior Technician in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.