Individual
BOGHUMA FORBANG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
7304 LOANDA DR, UPPER MARLBORO, MD 20772-4273
(240) 375-4500
Mailing address
6520 SPOONBILL WAY, CLINTON, MD 20735-3507
(240) 375-4500
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
171M00000X
Case Manager/Care Coordinator
—
—
Other
Enumeration date
08/04/2025
Last updated
08/07/2026
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