Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Gideon Fonkwen

Individual provider Behavior Technician · NPI 1063195170

Gideon Fonkwen is a Behavior Technician in Rockville, Maryland. Practices as a sole proprietor. Registered with an NPI since 2023.

In the registry since
2023
Specialties on file
2

Practice location Address checks out

2000 Tower Oaks Blvd
Rockville, MD 20852-4282
Phone: (301) 444-5001
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Case Manager/Care Coordinator (primary) Taxonomy 171M00000X
Behavior Technician Taxonomy 106S00000X

Record details

NPI number1063195170
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedAugust 8, 2023
Last updated in NPPESJuly 3, 2024
Certification dateJuly 3, 2024

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