Rashid Gbamanja

Individual provider Active NPI Behavior Technician · Thurmont, MD

NPI 1760106223 · NPPES record last updated Sep 28, 2022

Key facts

NPI
1760106223
Entity type
Individual (NPI type 1)
Primary specialty
Behavior Technician 106S00000X
Practice address
6504 Mountaindale Rd
Thurmont, MD 21788-2719
Phone
(240) 586-4881
NPI assigned
Sep 28, 2022
Sex
Male
Sole proprietor
No

Organizations & group practices 1

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.

Medicare participation

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

National Provider Directory

Medicare enrollment (NPD)
No

Practice roles

OrganizationSpecialtyStatusNew patients
Applied Behavior and Learning Consultants, LLC Current
since Feb 25, 2024
Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Technician 106S00000X Yes

Addresses

Primary practice location

6504 Mountaindale Rd
Thurmont, MD 21788-2719

Mailing address

6504 Mountaindale Rd
Thurmont, MD 21788-2719
Phone (240) 586-4881

Other providers in Thurmont, MD

All providers in Thurmont, MD · Behavior Technician in Maryland

Sources for this page

Verify at the official NPI Registry.