NPI 1558220103

Deontae Bailey

Practitioner Supports Brokerage Agency Berlin, MD

Practice location

Address: 9824 Seahorse Ln, Berlin, MD 21811-2581
Phone: (302) 344-2255

Registered specialties

Supports Brokerage Agency Primary

Agencies Taxonomy 251X00000X

Other Supports Brokerage providers in Maryland →

Registry record

NPI: 1558220103
Entity type: Individual
Sex (as registered): Male
NPI issued: 20 Jan 2026
Record last updated: 20 Jan 2026

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.