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NPI Code Detail

MEDICARE: THE BEHAVIORAL INTERVENTION REHABILITATION AND DEVELOPMENT PROJECT LLC

MEDICARE: THE BEHAVIORAL INTERVENTION REHABILITATION AND DEVELOPMENT PROJECT LLC
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
11041C0700XClinical Social Worker
2251S00000XCommunity/Behavioral Health Agency

General Provider Information

NPI Number : 1720949621
Entity Type Code : Organization
Provider Name (Legal Business Name) : THE BEHAVIORAL INTERVENTION REHABILITATION AND DEVELOPMENT PROJECT LLC
Provider Business Mailing Address
First Line : 3261 OLD WASHINGTON RD STE 2031
Second Line :
City : WALDORF
State : MD
Zip : 20602-3313
Country : US
Telephone Number : 240-557-9788
Fax Number : 240-787-7965
Provider Business Practice Location Address
First Line : 3261 OLD WASHINGTON RD STE 2031
Second Line :
City : WALDORF
State : MD
Zip : 20602-3313
Country : US
Telephone Number : 240-557-9788
Fax Number : 240-787-7965
Authorized Official
Title or Position : OWNER
Name : MS. EARLENE KIMBERLY DUNBAR
Credential : LICSW, LCSW
Telephone Number : 704-606-8193
Provider Enumeration Date : 11/20/2025
Last Update Date : 04/28/2026

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Directions to “THE BEHAVIORAL INTERVENTION REHABILITATION AND DEVELOPMENT PROJECT LLC ” Practice Location

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