Provider Demographics
NPI:1679446678
Name:EL KOTBI, HOUSNA
Entity type:Individual
Prefix:
First Name:HOUSNA
Middle Name:
Last Name:EL KOTBI
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 1:123 HIDDEN HILL CIR
Mailing Address - Street 2:
Mailing Address - City:ODENTON
Mailing Address - State:MD
Mailing Address - Zip Code:21113-4016
Mailing Address - Country:US
Mailing Address - Phone:443-640-8716
Mailing Address - Fax:
Practice Address - Street 1:123 HIDDEN HILL CIR
Practice Address - Street 2:
Practice Address - City:ODENTON
Practice Address - State:MD
Practice Address - Zip Code:21113-4016
Practice Address - Country:US
Practice Address - Phone:410-648-9580
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-09-25
Last Update Date:2025-09-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD106S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician