MEDICARE: JALYN POMETTO

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
1	106S00000X	Behavior Technician

General Provider Information

NPI Number	:	1811823081
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JALYN POMETTO

Provider Business Mailing Address
First Line	:	111 DUMBARTON RD
Second Line	:
City	:	BALTIMORE
State	:	MD
Zip	:	21212-1417
Country	:	US
Telephone Number	:	301-325-2096
Fax Number	:	301-325-2096

Provider Business Practice Location Address
First Line	:	9505 REISTERSTOWN RD
Second Line	:
City	:	OWINGS MILLS
State	:	MD
Zip	:	21117-4451
Country	:	US
Telephone Number	:	888-541-1868
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/23/2026
Last Update Date	:	06/23/2026

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Directions to “ JALYN POMETTO ” Practice Location

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