Individual
BORIS MBORINGONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
11720 BELTSVILLE DR # 500A15, BELTSVILLE, MD 20705-3166
(202) 790-8903
(301) 889-9735
Mailing address
11720 BELTSVILLE DR # 500A15, BELTSVILLE, MD 20705-3166
(202) 790-8903
(301) 889-9735
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
171M00000X
Case Manager/Care Coordinator
—
—
Other
Enumeration date
10/14/2024
Last updated
02/20/2025
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