Individual
GERARD ENGONO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2811 PENNSYLVANIA AVE SE, WASHINGTON, DC 20020-3865
(240) 423-8530
Mailing address
1302 OLD DRUMMER BOY LN, FORT WASHINGTON, MD 20744-4163
(240) 423-8530
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
—
—
171M00000X
Case Manager/Care Coordinator
Primary
—
—
251S00000X
Community/Behavioral Health Agency
—
—
Other
Enumeration date
06/20/2023
Last updated
04/02/2026
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