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NPI Code Detail

MEDICARE: BRIANNA MAE CABONILAS

MEDICARE: BRIANNA MAE CABONILAS
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
1106S00000XBehavior TechnicianMD

General Provider Information

NPI Number : 1821929746
Entity Type Code : Individual
Provider Name (Legal Business Name) : BRIANNA MAE CABONILAS
Provider Business Mailing Address
First Line : 14900 SWEITZER LN STE 106
Second Line :
City : LAUREL
State : MD
Zip : 20707-2915
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 14900 SWEITZER LN STE 106
Second Line :
City : LAUREL
State : MD
Zip : 20707-2915
Country : US
Telephone Number : 301-479-9178
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/28/2026
Last Update Date : 05/28/2026

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Directions to “ BRIANNA MAE CABONILAS ” Practice Location

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