Healthcare Provider Details

I. General information

NPI: 1528979671
Provider Name (Legal Business Name): JAMARI SCALES
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/16/2026
Last Update Date: 09/16/2026
Certification Date: 09/16/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2340 VERMONT AVE APT 2
HYATTSVILLE MD
20785-3355
US

IV. Provider business mailing address

2050 OLD BRIDGE RD
WOODBRIDGE VA
22192-2481
US

V. Phone/Fax

Practice location:
  • Phone: 240-605-3960
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106S00000X
TaxonomyBehavior Technician
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: