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Contact Information

NICOLE BANDARENKO, MED, BCBA, LBA
646 HOWARDS LOOP
ANNAPOLIS, MD21401-8738
 Phone: 443-994-9690
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Behavior Analyst

103K00000X
Indicates primary specialty

NPI Profile & details for NICOLE BANDARENKO · (Female)

NPI # 1215546726
Status Active
Credentials MED, BCBA, LBA
Entity Individual
Enumeration date 07/30/2020
Last updated 05/19/2026 - About 3 weeks ago
Sole proprietor 1 Yes
Identifiers
  • MD License # LBA1411
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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