Provider Demographics
NPI:1912706425
Name:ROBINSON, INDIA M
Entity type:Individual
Prefix:
First Name:INDIA
Middle Name:M
Last Name:ROBINSON
Suffix:
Gender:
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5704 BOWLEYS LN
Mailing Address - Street 2:
Mailing Address - City:BALTIMORE
Mailing Address - State:MD
Mailing Address - Zip Code:21206-7021
Mailing Address - Country:US
Mailing Address - Phone:443-948-2442
Mailing Address - Fax:
Practice Address - Street 1:5704 BOWLEYS LN
Practice Address - Street 2:
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21206-7021
Practice Address - Country:US
Practice Address - Phone:443-948-2442
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-03-10
Last Update Date:2025-03-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician