Healthcare Provider Details

I. General information

NPI: 1467299511
Provider Name (Legal Business Name): CHARLYN ADJEI-TWUM
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/15/2024
Last Update Date: 12/23/2025
Certification Date: 12/23/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9440 MARLBORO PIKE SUITE 100
UPPER MARLBORO MD
20772
US

IV. Provider business mailing address

1500 S DOUGLAS RD
CORAL GABLES FL
33134-4108
US

V. Phone/Fax

Practice location:
  • Phone: 301-895-9804
  • Fax:
Mailing address:
  • Phone: 844-244-1818
  • 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: