Charlyne Cole

Individual provider Active NPI Behavior Technician · Glenarden, MD

NPI 1831852532 · NPPES record last updated Oct 19, 2021

Key facts

NPI
1831852532
Entity type
Individual (NPI type 1)
Primary specialty
Behavior Technician 106S00000X
Practice address
4500 Forbes Blvd Ste 200
Glenarden, MD 20706-6316
Phone
(301) 267-1862
NPI assigned
Oct 19, 2021
Sex
Female
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

4500 Forbes Blvd Ste 200
Glenarden, MD 20706-6316

Mailing address

4500 Forbes Blvd Ste 200
Glenarden, MD 20706-6316

Other providers in Glenarden, MD

All providers in Glenarden, MD · Behavior Technician in Maryland

Sources for this page

Verify at the official NPI Registry.