Most Relevant Information
Provider Data
| NPI Number: | 1003653791 |
| Provider Name: | BRANDON NYONGBELLA SAMA |
| Entity Type: | Individual |
| Taxonomy Code: | 106S00000X |
| Specialty: | Behavior Technician |
| License Number: |
Most Important Dates
| Enumeration Date: | 07/10/2024 |
| Last Updated: | 07/10/2024 |
Provider Practice Location
2501 SMITH AVE
BALTIMORE
MD
212092505
Practice Location Phone/Fax
| Phone: | 4102059493 |
| Fax: |
Provider Mailing Location
9407 NEW HAMPSHIRE AVE
SILVER SPRING
MD
209032316
Provider Mailing Phone/Fax
| Phone: | 2025974865 |
| Fax: |