Provider Demographics
NPI:1245084706
Name:BABB, JAYLIN
Entity type:Individual
Prefix:
First Name:JAYLIN
Middle Name:
Last Name:BABB
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6107 TURNABOUT LN APT 1
Mailing Address - Street 2:
Mailing Address - City:COLUMBIA
Mailing Address - State:MD
Mailing Address - Zip Code:21044-3048
Mailing Address - Country:US
Mailing Address - Phone:410-440-5976
Mailing Address - Fax:
Practice Address - Street 1:11720 BELTSVILLE DR STE 500
Practice Address - Street 2:
Practice Address - City:BELTSVILLE
Practice Address - State:MD
Practice Address - Zip Code:20705-3139
Practice Address - Country:US
Practice Address - Phone:855-853-0228
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-04-12
Last Update Date:2024-04-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician