Individual
ELVIS N.K MBANGA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2811 PENNSYLVANIA AVE SE, WASHINGTON, DC 20020-3865
(202) 894-6811
Mailing address
5606 WHITFIELD CHAPEL RD, LANHAM, MD 20706-2544
(240) 716-8763
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
—
DC
171M00000X
Case Manager/Care Coordinator
—
—
172V00000X
Community Health Worker
Primary
—
DC
251S00000X
Community/Behavioral Health Agency
—
—
Other
Enumeration date
06/15/2023
Last updated
06/28/2025
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