Organization
KAVANA CARE MD LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SAMUEL TENNENBAUM (SOLE MBR)
(516) 371-9500
Entity
Organization
Contact information
Practice address
400 E PRATT ST FL 8, BALTIMORE, MD 21202-3180
(516) 371-9500
Mailing address
400 E PRATT ST FL 8, BALTIMORE, MD 21202-3180
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
07/02/2025
Last updated
07/02/2025
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