Konjit Fayisa
Behavior Technician in Pikesville, MD. Individual provider (NPI-1).
NPI number1104710177
StatusActive
Last updated in NPPESJun 5, 2025
Details
- NPI
- 1104710177
- Entity type
- Individual (NPI-1)
- Name
- Konjit Fayisa
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jun 5, 2025
- Certification date
- Jun 5, 2025
- Last updated
- Jun 5, 2025
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 106S00000X | Behavior Technician | – | – | Yes |
Practice location
1517 Reisterstown RdPikesville, MD 21208-4325
Phone 410-541-1316
Mailing address
1517 Reisterstown RdPikesville, MD 21208-4325
Phone 410-541-1316
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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