Organization
BK BEHAVIORAL HEALTH CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BERNADETTE S KAMARA (PRESIDENT/CEO)
(301) 346-4687
Entity
Organization
Contact information
Practice address
14300 CHERRY LANE CT STE 202-203, LAUREL, MD 20707
(240) 360-2637
(240) 360-2647
Mailing address
14300 CHERRY LANE CT STE 202-203, LAUREL, MD 20707-4958
(240) 360-2637
(240) 360-2647
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
106E00000X
Assistant Behavior Analyst
—
—
106S00000X
Behavior Technician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
BH000298
—
MD
Enumeration date
05/09/2018
Last updated
05/22/2018
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