NPI 1083472245 · live from the CMS NPI Registry
Kendel Faubert
Behavior Analyst in Berlin, MD. National Provider Identifier 1083472245, active.
NPI record
| NPI | 1083472245 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Behavior Analyst 103K00000X |
| Practice location | 617 Franklin Ave Unit 12, Berlin, MD 21811 |
| Practice phone | 302-604-2424 |
| Mailing address | 17051 Redden Rd, Georgetown, DE 19947 |
| Enumerated | March 11, 2024 |
| Last updated | August 21, 2026 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Behavior Analyst primary | 103K00000X | 1-26-2834702 (DE) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.