Individual provider Active NPI

Leslie Agbangla

  • Behavior Technician
  • Silver Spring, MD
National Provider Identifier
1770497984
Registry record updated Oct 2, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior TechnicianTaxonomy code 106S00000X
Practice address
13708 Modrad Way Apt 21
Silver Spring, MD 20904-4819
Phone
(301) 969-4214
Fax
(301) 969-4217
NPI assigned
Oct 2, 2026
Last updated
Oct 2, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 2, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Technician 106S00000X MD Primary

Addresses

Primary practice location

13708 Modrad Way Apt 21
Silver Spring, MD 20904-4819

Mailing address

13708 Modrad Way Apt 21
Silver Spring, MD 20904-4819
Phone (301) 969-4214

Medicare participation

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

NPI Registry JSON

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

{
    "created_epoch": "1790899200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1790899200000",
    "number": "1770497984",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13708 MODRAD WAY APT 21",
            "city": "SILVER SPRING",
            "state": "MD",
            "postal_code": "209044819",
            "telephone_number": "301-969-4214",
            "fax_number": "301-969-4217"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13708 MODRAD WAY APT 21",
            "city": "SILVER SPRING",
            "state": "MD",
            "postal_code": "209044819",
            "telephone_number": "301-969-4214",
            "fax_number": "301-969-4217"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AGBANGLA",
        "first_name": "LESLIE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-10-02",
        "last_updated": "2026-10-02",
        "certification_date": "2026-10-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "MD",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Silver Spring, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.