Healthcare Provider Details

I. General information

NPI: 1710814538
Provider Name (Legal Business Name): KAYLYNN BROMELL RBT
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/06/2026
Last Update Date: 05/06/2026
Certification Date: 05/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7500 GREENWAY CENTER DR STE 1300
GREENBELT MD
20770-3575
US

IV. Provider business mailing address

6031 RIVER MEADOWS DR # A
COLUMBIA MD
21045-3802
US

V. Phone/Fax

Practice location:
  • Phone: 301-585-9595
  • Fax: 877-394-2171
Mailing address:
  • Phone: 301-585-9595
  • Fax: 877-394-2171

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106S00000X
TaxonomyBehavior Technician
License NumberRBT-26-533537
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: