Kendall R Allison

Individual provider Active NPI Behavior Technician · Windsor Mill, MD

NPI 1629707153 · NPPES record last updated Jun 9, 2022

Key facts

NPI
1629707153
Entity type
Individual (NPI type 1)
Primary specialty
Behavior Technician 106S00000X
Practice address
3604 Yennar LN Apt 3a
Windsor Mill, MD 21244-4654
Phone
(443) 404-6619
NPI assigned
Jun 9, 2022
Sex
Male
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

3604 Yennar LN Apt 3a
Windsor Mill, MD 21244-4654

Mailing address

3604 Yennar LN Apt 3a
Windsor Mill, MD 21244-4654
Phone (443) 404-6619

Other providers in Windsor Mill, MD

All providers in Windsor Mill, MD · Behavior Technician in Maryland

Sources for this page

Verify at the official NPI Registry.