Jayanah Bantum
Behavior Technician in Owings Mills, MD. Individual provider (NPI-1).
NPI number1861355331
StatusActive
Last updated in NPPESDec 3, 2025
Details
- NPI
- 1861355331
- Entity type
- Individual (NPI-1)
- Name
- Jayanah Bantum
- Sole proprietor
- No
- Enumeration date
- Dec 3, 2025
- Certification date
- Dec 3, 2025
- Last updated
- Dec 3, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 106S00000X | Behavior Technician | – | MD | Yes |
Practice location
500 Redland CtOwings Mills, MD 21117-3264
Phone 201-979-1336
Mailing address
175 Belgrove DrKearny, NJ 07032-1507
Phone 201-979-1336
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