Dae-Jell Anderson, RBT
Behavior Technician in Baltimore, MD. Individual provider (NPI-1).
NPI number1093691172
StatusActive
Last updated in NPPESAug 13, 2025
Details
- NPI
- 1093691172
- Entity type
- Individual (NPI-1)
- Name
- Dae-Jell Anderson
- Credential
- RBT
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Aug 13, 2025
- Certification date
- Aug 13, 2025
- Last updated
- Aug 13, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 106S00000X | Behavior Technician | – | CT | Yes |
Practice location
10 Light St Unit 1024Baltimore, MD 21202-1479
Phone 203-212-0711
Mailing address
10 Light St Unit 1024Baltimore, MD 21202-1479
Phone 203-212-0711
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