Provider Demographics
NPI:1255219101
Name:MOSTERD, JAYLEIGH CHRISTINE
Entity type:Individual
Prefix:
First Name:JAYLEIGH
Middle Name:CHRISTINE
Last Name:MOSTERD
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 1:18384 CHESTNUT ST
Mailing Address - Street 2:
Mailing Address - City:LEXINGTON PARK
Mailing Address - State:MD
Mailing Address - Zip Code:20653-3577
Mailing Address - Country:US
Mailing Address - Phone:240-925-0238
Mailing Address - Fax:240-925-0238
Practice Address - Street 1:18384 CHESTNUT ST
Practice Address - Street 2:
Practice Address - City:LEXINGTON PARK
Practice Address - State:MD
Practice Address - Zip Code:20653-3577
Practice Address - Country:US
Practice Address - Phone:240-925-0238
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-08-26
Last Update Date:2025-08-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD106E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106E00000XBehavioral Health & Social Service ProvidersAssistant Behavior Analyst