Healthcare Provider Details

I. General information

NPI: 1700709367
Provider Name (Legal Business Name): JANEE ROYAL
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/31/2026
Last Update Date: 07/31/2026
Certification Date: 07/31/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7 GWYNNS MILL CT
OWINGS MILLS MD
21117-3528
US

IV. Provider business mailing address

3103 82ND AVE
LANDOVER MD
20785-2706
US

V. Phone/Fax

Practice location:
  • Phone: 410-449-7021
  • Fax:
Mailing address:
  • Phone: 410-449-7021
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: