Mikel Rosenboro

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

Practice address

11546 Hornbeam CT
Waldorf, MD 20601-5298

Phone

(202) 421-0431

NPI assigned

Nov 28, 2016

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1480291200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1679961600000",
    "number": "1659814531",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11871 HOLABIRD LN",
            "city": "WALDORF",
            "state": "MD",
            "postal_code": "206015204",
            "telephone_number": "202-421-0431"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11546 HORNBEAM CT",
            "city": "WALDORF",
            "state": "MD",
            "postal_code": "206015298",
            "telephone_number": "202-421-0431"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROSENBORO",
        "first_name": "MIKEL",
        "name_prefix": "Mr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-11-28",
        "last_updated": "2023-03-28",
        "certification_date": "2023-03-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "156F00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Technician/Technologist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "171M00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Julia Yvette Romero, M.S.
• Ronald K. Criss, D.P.M.,P.C.
• William Javier Rosales Gonzalez, MD
• Julius R Rosales, OT
• Iesha P Rosenboro, MS
• Karlene Vanessa Ross, M.D.
• Stacy O. Ross, M.D.
• Jacqueline Rouse-Johnson, RN, IBCLC, RLC
• Rows Healthcare, LLC
• Sheena Royster

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2023; 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.