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NPI Code Detail

MEDICARE: KENNISHA SINGLETON-NELSON

MEDICARE: KENNISHA SINGLETON-NELSON
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1103K00000XBehavior Analyst

General Provider Information

NPI Number : 1407330343
Entity Type Code : Individual
Provider Name (Legal Business Name) : KENNISHA SINGLETON-NELSON
Provider Business Mailing Address
First Line : 8200 PROFESSIONAL PL STE 115
Second Line :
City : LANDOVER
State : MD
Zip : 20785-2293
Country : US
Telephone Number : 443-330-7900
Fax Number :
Provider Business Practice Location Address
First Line : 8200 PROFESSIONAL PL STE 115
Second Line :
City : LANDOVER
State : MD
Zip : 20785-2293
Country : US
Telephone Number : 443-330-7900
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/17/2018
Last Update Date : 12/03/2025

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Directions to “ KENNISHA SINGLETON-NELSON ” Practice Location

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