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Contact Information

MAHBOUCHU KELLY
6323 GEORGIA AVE NW STE 360
WASHINGTON, DC20011-1101
 Phone: 202-621-8494
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Case Manager/Care Coordinator

171M00000X
 

Behavior Technician

106S00000X
Indicates primary specialty

NPI Profile & details for MAHBOUCHU KELLY · (Female)

NPI Number 1740137231
Status Active
Credentials
Entity Individual
Enumeration date 03/13/2026
Last updated 04/28/2026 - About a month ago
Sole proprietor 1 No
Identifiers Not Available
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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