Individual
MAHBOUCHU KELLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6323 GEORGIA AVE NW STE 360, WASHINGTON, DC 20011-1101
(202) 621-8494
Mailing address
2000 TOWER OAKS BLVD STE 500, ROCKVILLE, MD 20852-4377
(301) 444-5001
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
—
—
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
03/13/2026
Last updated
04/28/2026
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