Individual
MR. RECAIRDO DEMETRIUS MANGRUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
500 REDLAND CT, OWINGS MILLS, MD 21117-3264
(201) 979-1336
Mailing address
175 BELGROVE DR, KEARNY, NJ 07032-1507
(201) 979-1336
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
0133000226
VA
103K00000X
Behavior Analyst
Primary
1-12-12387
—
103K00000X
Behavior Analyst
BH000158
PA
103K00000X
Behavior Analyst
LBA972
MD
103K00000X
Behavior Analyst
—
—
Other
Enumeration date
01/31/2013
Last updated
01/09/2026
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