MEDICARE: KENYA W KABANDO RBT

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	BACB1103895	MD

General Provider Information

NPI Number	:	1629931514
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KENYA W KABANDO RBT

Provider Business Mailing Address
First Line	:	304 MOUNT ROYAL AVE
Second Line	:
City	:	ABERDEEN
State	:	MD
Zip	:	21001-1917
Country	:	US
Telephone Number	:	678-228-6194
Fax Number	:

Provider Business Practice Location Address
First Line	:	304 MOUNT ROYAL AVE
Second Line	:
City	:	ABERDEEN
State	:	MD
Zip	:	21001-1917
Country	:	US
Telephone Number	:	678-228-6194
Fax Number	:

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

Provider Enumeration Date	:	12/08/2025
Last Update Date	:	12/08/2025

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Directions to “ KENYA W KABANDO RBT” Practice Location

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