BEHAVIOR CHANGE INCORPORATED (NPI# 1386967057) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1386967057 |
| 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 | 2010-03-09 |
| Last Update Date | 2010-03-09 |
| Authorized Official Name | MISS SAMANTHA HARDESTY (CO-OWNER) |
| 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 | 261QM0855X |
Clinic/Center Specialization: Adolescent and Children Mental Health |
Ambulatory Health Care Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073751293 | Behavior Change Incorporated | Point of Service | 2126 E Baltimore St, Baltimore, MD 21231-2041 | 2009-01-26 |
| Street Address |
2126 E BALTIMORE ST |
| City | BALTIMORE |
| State | MD |
| Zip Code | 21231-2041 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073751293 | Behavior Change Incorporated | Point of Service | 2126 E Baltimore St, Baltimore, MD 21231-2041 | 2009-01-26 |
| 1730515966 | Samantha Lynn Hardesty | Behavioral Analyst | 2126 E Baltimore St, Baltimore, MD 21231-2041 | 2013-09-19 |
| 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 | 261QM0855X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Adolescent and Children Mental Health |
| An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in children and adolescents. Services may be provided to parents and family members of the patient in the form of conjoint, group, or individual therapy, and education and/or training. |
| Notes: [7/1/2003: new] |
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| 1720627581 | Johns Hopkins Bayview Medical Center, Inc. | Clinic/Center | 5500 East Lombard Street, Room 1025, Baltimore, MD 21224 | 2019-12-27 |
| 1437714862 | Bolton Therapy & Wellness | Clinic/Center | 1534 Bolton St Ste 1, Baltimore, MD 21217-4203 | 2019-05-01 |
| 1659883304 | Clear Horizons | Clinic/Center | 2317 W Patapsco Ave, Baltimore, MD 21230-2815 | 2017-11-02 |
| 1841702321 | Maryland Children's Institute, Inc. | Clinic/Center | 859 1/2 N Howard St Fl 1, Baltimore, MD 21201-4696 | 2017-10-24 |
| 1477064251 | Helping Our Youth Achieve Psychiatric Rehabilitation Program | Clinic/Center | 5525 Belair Rd, Baltimore, MD 21206-3654 | 2017-10-19 |
| 1467973149 | Thor Learning Center | Clinic/Center | 4640 Edmondson Ave Fl 1, Baltimore, MD 21229-1407 | 2017-07-03 |
| 1144693540 | Akila Cares, LLC | Clinic/Center | 5160 Baltimore National Pike, Baltimore, MD 21229-1121 | 2015-11-06 |
| 1326416629 | Associated Catholic Charities | Clinic/Center | 606 Cherry Hill Rd, Suite 200, Baltimore, MD 21225-2012 | 2015-09-03 |
| Find all providers in BALTIMORE | ||||
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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.