Provider Demographics
NPI:1659023984
Name:BAH, BINTA
Entity Type:Individual
Prefix:
First Name:BINTA
Middle Name:
Last Name:BAH
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2275 RESEARCH BLVD STE 500
Mailing Address - Street 2:
Mailing Address - City:ROCKVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:20850-6203
Mailing Address - Country:US
Mailing Address - Phone:571-325-8262
Mailing Address - Fax:
Practice Address - Street 1:2275 RESEARCH BLVD STE 500
Practice Address - Street 2:500
Practice Address - City:ROCKVILLE
Practice Address - State:MD
Practice Address - Zip Code:20850-6203
Practice Address - Country:US
Practice Address - Phone:240-428-0465
Practice Address - Fax:240-846-3858
Is Sole Proprietor?:Yes
Enumeration Date:2022-01-18
Last Update Date:2022-01-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical