Provider Demographics
NPI:1700691409
Name:OKORIE, CYNTHIA O (RBT)
Entity type:Individual
Prefix:
First Name:CYNTHIA
Middle Name:O
Last Name:OKORIE
Suffix:
Gender:F
Credentials:RBT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6769 OLD WATERLOO RD APT 524
Mailing Address - Street 2:
Mailing Address - City:ELKRIDGE
Mailing Address - State:MD
Mailing Address - Zip Code:21075-7174
Mailing Address - Country:US
Mailing Address - Phone:240-810-6316
Mailing Address - Fax:
Practice Address - Street 1:9658 BALTIMORE AVE STE 300
Practice Address - Street 2:
Practice Address - City:COLLEGE PARK
Practice Address - State:MD
Practice Address - Zip Code:20740-1346
Practice Address - Country:US
Practice Address - Phone:240-222-1211
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-02-10
Last Update Date:2025-02-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
106S00000X
MDRBT-25-413888106S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician