BEHAVIOR CHANGE INCORPORATED (NPI# 1073751293) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1073751293 |
Entity Type | Organization |
Organization Name | BEHAVIOR CHANGE INCORPORATED |
Practice Address |
2126 E Baltimore St Baltimore MD 21231-2041 |
Practice Telephone | 8045191360 |
Mailing Telephone | 8045191360 |
Enumeration Date | 2009-01-26 |
Last Update Date | 2009-01-26 |
Authorized Official Name | SAMANTHA HARDESTY (CERTIFIED BEHAVIOR ANALYST) |
Authorized Official Telephone | 8045191360 |
Authorized Official Credential | M.A., BCBA |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 305S00000X | Point of Service | 1062931 | Managed Care Organizations |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1386967057 | Behavior Change Incorporated | Clinic/Center | 2126 E Baltimore St, Baltimore, MD 21231-2041 | 2010-03-09 |
Street Address |
2126 E BALTIMORE ST |
City | BALTIMORE |
State | MD |
Zip Code | 21231-2041 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1730515966 | Samantha Lynn Hardesty | Behavioral Analyst | 2126 E Baltimore St, Baltimore, MD 21231-2041 | 2013-09-19 |
1386967057 | Behavior Change Incorporated | Clinic/Center | 2126 E Baltimore St, Baltimore, MD 21231-2041 | 2010-03-09 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1356901102 | Danielle Wexler | Student in an Organized Health Care Education/Training Program | 1750 E Fairmount Ave Fl 3, Baltimore, MD 21231 | 2019-06-14 |
1427615822 | Elana Rachel Kagan | Psychologist | 1750 East Fairmont Ave, Baltimore, MD 21231 | 2019-05-22 |
1982196176 | Gabriel Ewing | Massage Therapist | Sanctuary Bodyworks, 710 S. Ann St. #210, Baltimore, MD 21231 | 2018-06-04 |
1306358098 | Zachary Woods | Chiropractor | 2001 Eastern Avenue, 1st Floor, Baltimore, MD 21231 | 2017-11-02 |
1396191458 | The Johns Hopkins Hospital | Pharmacy | 401 N. Broadway, Suite 1001, Baltimore, MD 21231 | 2016-05-09 |
1235593468 | Saurabh Raj Pandey | Pharmacist | 919 N Caroline St, Baltimore, MD 21231 | 2016-04-13 |
1306251202 | Clare Gibson | Psychologist | 2240 East Baltimore St, Baltimore, MD 21231 | 2014-06-30 |
1245645514 | Marie Woods | Psychologist | 14 S. Broadway St., Baltimore, MD 21231 | 2014-06-25 |
1003226234 | Rebecca Delaney Tsao | Nurse Practitioner | 98 North Broadway, Suite 421, Baltimore, MD 21231 | 2014-04-28 |
1265856488 | Paul Laurence Dunbar High School | Clinic/Center | 1400 Orleans Street, Baltimore, MD 21231 | 2014-02-07 |
Find all providers in zip 21231 |
Taxonomy Code | 305S00000X |
Grouping | Managed Care Organizations |
Classification | Point of Service |
This product may also be called an open-ended HMO and offers a transition product incorporating features of both HMOs and PPOs. Beneficiaries are enrolled in an HMO but have the option to go outside the networks for an additional cost. |
Notes: Source: "Glossary of terms used in managed care" Developed by the Managed Care Assembly (MCA) of Medical Group Management Association (MGMA), MGM Journal, September/October 1995, p. 62 |
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1073918306 | Nosta Tanyidah | Point of Service | 7813 Mandan Rd, T2, Greenbelt, MD 20770-2139 | 2014-10-29 |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.