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

MS. Immaculate Mbolle

Individual provider Behavior Technician · NPI 1013803253

MS. Immaculate Mbolle is a Behavior Technician in Bowie, Maryland. Registered with an NPI since 2025.

In the registry since
2025

Practice location Address checks out

6911 Laurel Bowie Rd Ste 309
Bowie, MD 20715-1712
Phone: (301) 755-4021
Show map & directions

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

Specialties & licences

Behavior Technician (primary) Taxonomy 106S00000X

Record details

NPI number1013803253
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJune 16, 2025
Last updated in NPPESJune 16, 2025
Certification dateJune 15, 2025
Mailing address11404 Stewart Ln, Silver Spring, MD 20904-2216

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