Provider Demographics
NPI:1881299915
Name:BAH, OSMAN MOHAMED (RBT)
Entity type:Individual
Prefix:
First Name:OSMAN
Middle Name:MOHAMED
Last Name:BAH
Suffix:
Gender:M
Credentials:RBT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8014 WOODGATE CT APT D
Mailing Address - Street 2:
Mailing Address - City:BALTIMORE
Mailing Address - State:MD
Mailing Address - Zip Code:21244-3757
Mailing Address - Country:US
Mailing Address - Phone:443-317-7038
Mailing Address - Fax:
Practice Address - Street 1:ABA SOLUTION LLC, 23 THOMAS SCHILLING CT
Practice Address - Street 2:
Practice Address - City:UPPERCO
Practice Address - State:MD
Practice Address - Zip Code:21155
Practice Address - Country:US
Practice Address - Phone:410-818-8948
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-12-04
Last Update Date:2020-12-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDRBT-20-146399106S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD1184960122Medicaid