Healthcare Provider Details

I. General information

NPI: 1386570141
Provider Name (Legal Business Name): AB BEHAVIORAL HEALTH SERVICES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/19/2026
Last Update Date: 06/19/2026
Certification Date: 06/19/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2 DAJOBE CT
RANDALLSTOWN MD
21133-2849
US

IV. Provider business mailing address

2 DAJOBE CT
RANDALLSTOWN MD
21133-2849
US

V. Phone/Fax

Practice location:
  • Phone: 443-500-9305
  • Fax: 443-500-9305
Mailing address:
  • Phone: 443-500-9305
  • Fax: 443-500-9305

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State

VIII. Authorized Official

Name: BUKOLA TEMITOPE ALMAROOF
Title or Position: CEO
Credential: ALMAROOF
Phone: 443-500-9305