MEDICARE: HERODIAS MOKONOU

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	106S00000X	Behavior Technician		MD

General Provider Information

NPI Number	:	1467307009
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	HERODIAS MOKONOU

Provider Business Mailing Address
First Line	:	8811 COLESVILLE RD APT 208
Second Line	:
City	:	SILVER SPRING
State	:	MD
Zip	:	20910-4354
Country	:	US
Telephone Number	:	240-351-1696
Fax Number	:

Provider Business Practice Location Address
First Line	:	8811 COLESVILLE RD APT 208
Second Line	:
City	:	SILVER SPRING
State	:	MD
Zip	:	20910-4354
Country	:	US
Telephone Number	:	240-351-1696
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/27/2026
Last Update Date	:	02/27/2026

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Directions to “ HERODIAS MOKONOU ” Practice Location

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