Healthcare Provider Details

I. General information

NPI: 1740002641
Provider Name (Legal Business Name): ABOVE AND BEYOND ABA MD LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/30/2024
Last Update Date: 07/21/2026
Certification Date: 07/21/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8929 SHADY GROVE CT
GAITHERSBURG MD
20877-1308
US

IV. Provider business mailing address

5000 THAYER CTR STE C
OAKLAND MD
21550-1139
US

V. Phone/Fax

Practice location:
  • Phone: 240-835-4045
  • Fax:
Mailing address:
  • Phone: 240-835-4045
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State

VIII. Authorized Official

Name: YANKY KAHANA
Title or Position: DIRECTOR
Credential:
Phone: 240-835-4045