Provider Demographics
NPI:1336960293
Name:PABON, DANIEL OBED
Entity type:Individual
Prefix:MR
First Name:DANIEL
Middle Name:OBED
Last Name:PABON
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11204 MONTGOMERY RD
Mailing Address - Street 2:
Mailing Address - City:BELTSVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:20705-2820
Mailing Address - Country:US
Mailing Address - Phone:202-279-1244
Mailing Address - Fax:
Practice Address - Street 1:11204 MONTGOMERY RD
Practice Address - Street 2:
Practice Address - City:BELTSVILLE
Practice Address - State:MD
Practice Address - Zip Code:20705-2820
Practice Address - Country:US
Practice Address - Phone:202-279-1244
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-10-22
Last Update Date:2024-10-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YS0200XBehavioral Health & Social Service ProvidersCounselorSchool