Jestina Mabay
Behavior Technician in Lanham, MD. Individual provider (NPI-1).
NPI number1962082115
StatusActive
Last updated in NPPESApr 12, 2021
Details
- NPI
- 1962082115
- Entity type
- Individual (NPI-1)
- Name
- Jestina Mabay
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Apr 12, 2021
- Certification date
- Apr 12, 2021
- Last updated
- Apr 12, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 106S00000X | Behavior Technician | – | – | Yes |
Practice location
9500 Annapolis Rd Ste C2c3Lanham, MD 20706-2060
Phone 301-850-1148
Mailing address
11702 Winsted CtBeltsville, MD 20705-1582
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