SECOND CHANCE BEHAVIORAL HEALTH CENTER LLC (NPI# 1619495876) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619495876 |
| Entity Type | Organization |
| Organization Name | SECOND CHANCE BEHAVIORAL HEALTH CENTER LLC |
| Practice Address |
2502 Maryland Ave Baltimore MD 21218-4510 |
| Mailing Address |
10045 Ardenne Way Owings Mills MD 21117-4072 |
| Practice Telephone | 4436606059 |
| Mailing Telephone | 4436606059 |
| Enumeration Date | 2017-09-07 |
| Last Update Date | 2017-09-07 |
| Authorized Official Name | MS. TOWANDA RENEE TAYLOR (CEO) |
| Authorized Official Telephone | 4436606059 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 106S00000X | Behavior Technician | MD | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609490838 | Second Chance Behavioral Health Center LLC | Psychiatric Hospital | 5517 Ritchie Hwy, Brooklyn Park, MD 21225-3457 | 2020-06-03 |
| 1275157505 | Second Chance Behavioral Health Center LLC | Clinic/Center | 5517 Ritchie Hwy, Brooklyn Park, MD 21225-3457 | 2020-06-02 |
| 1134610322 | Second Chance Behavioral Health Center LLC | Psychologist | 2502 Maryland Ave, Baltimore, MD 21218-4510 | 2018-05-23 |
| 1134618838 | Second Chance Behavioral Health Center LLC | Clinic/Center | 2502 Maryland Ave, Baltimore, MD 21218-4510 | 2018-05-08 |
| 1093204794 | Second Chance Behavioral Health Center LLC | Substance Abuse Rehabilitation Facility | 2502 Maryland Ave, Baltimore, MD 21218-4510 | 2018-05-08 |
| 1699264317 | Second Chance Behavioral Health Center LLC | Pharmacy | 2502 Maryland Ave, Baltimore, MD 21218-4510 | 2018-05-08 |
| 1992294698 | Second Chance Behavioral Health Center LLC | Clinical Medical Laboratory | 2502 Maryland Ave, Baltimore, MD 21218-4510 | 2018-05-08 |
| 1811486715 | Second Chance Behavioral Health Center LLC | Clinic/Center | 2502 Maryland Ave, Baltimore, MD 21218-4510 | 2018-05-07 |
| 1275022170 | Second Chance Behavioral Health Center LLC | Clinic/Center | 2502 Maryland Ave, Baltimore, MD 21218-4510 | 2018-05-07 |
| Street Address |
2502 MARYLAND AVE |
| City | BALTIMORE |
| State | MD |
| Zip Code | 21218-4510 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346454147 | Aisha Dawn Mackall | Social Worker | 2502 Maryland Ave, 1st Floor, Baltimore, MD 21218-4510 | 2007-05-10 |
| 1134610322 | Second Chance Behavioral Health Center LLC | Psychologist | 2502 Maryland Ave, Baltimore, MD 21218-4510 | 2018-05-23 |
| 1134618838 | Second Chance Behavioral Health Center LLC | Clinic/Center | 2502 Maryland Ave, Baltimore, MD 21218-4510 | 2018-05-08 |
| 1093204794 | Second Chance Behavioral Health Center LLC | Substance Abuse Rehabilitation Facility | 2502 Maryland Ave, Baltimore, MD 21218-4510 | 2018-05-08 |
| 1699264317 | Second Chance Behavioral Health Center LLC | Pharmacy | 2502 Maryland Ave, Baltimore, MD 21218-4510 | 2018-05-08 |
| 1992294698 | Second Chance Behavioral Health Center LLC | Clinical Medical Laboratory | 2502 Maryland Ave, Baltimore, MD 21218-4510 | 2018-05-08 |
| 1811486715 | Second Chance Behavioral Health Center LLC | Clinic/Center | 2502 Maryland Ave, Baltimore, MD 21218-4510 | 2018-05-07 |
| 1275022170 | Second Chance Behavioral Health Center LLC | Clinic/Center | 2502 Maryland Ave, Baltimore, MD 21218-4510 | 2018-05-07 |
| 1891298279 | Second Chance Behavioral Health Services | Clinic/Center | 2502 Maryland Ave, Baltimore, MD 21218-4510 | 2018-03-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851933725 | Tierra Bouyer | Speech-Language Pathologist | 2040 East 32nd Street, Baltimore, MD 21218 | 2019-10-12 |
| 1093273559 | Brenda H. Wells | Social Worker | 200 E. North Ave., Baltimore, MD 21218 | 2019-03-04 |
| 1619441011 | Harwood Behavioral Health Partners, LLC | Community/Behavioral Health | 2514 Greenmount Avenue, Baltimore, MD 21218 | 2019-01-18 |
| 1649740291 | Elise Christine Starkey | Occupational Therapist | 801 Argonne Drive, Baltimore, MD 21218 | 2018-11-27 |
| 1851861421 | Alagra S Bass | Social Worker | 1900 N. Howard Street Suite 300, Baltimore, MD 21218 | 2018-11-27 |
| 1396213575 | Desiree Luerene Israel | Social Worker | 2000 Greenmount Ave Ste 101, Baltimore, MD 21218 | 2018-11-06 |
| 1952885451 | Harwood Behavioral Health Partners, LLC | Clinic/Center | 2514 Greenmount Ave, Baltimore, MD 21218 | 2018-09-20 |
| 1528548047 | Rozi Khan | Student in an Organized Health Care Education/Training Program | 325 East University Pkwy 1-3, Bltimore, MD 21218 | 2018-08-14 |
| 1558866202 | Prabij N/a Dhungana | Student in an Organized Health Care Education/Training Program | 201 E. University Parkway, Dept of Medicine, Baltimore, MD 21218 | 2018-03-26 |
| 1588163562 | Generation 5 Healthcare, Inc. | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 707 Belgian Ave., Baltimore, MD 21218 | 2018-02-06 |
| Find all providers in zip 21218 | ||||
| Taxonomy Code | 106S00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Behavior Technician |
| The behavior technician is a paraprofessional who practices under the close, ongoing supervision of a behavior analyst or assistant behavior analyst certified by the Behavior Analyst Certification Board and/or credentialed by a state (such as through licensure). The behavior technician is primarily responsible for the implementation of components of behavior-analytic treatment plans developed by the supervisor. That may include collecting data on treatment targets and conducting certain types of behavioral assessments (e.g., stimulus preference assessments). The behavior technician does not design treatment or assessment plans or procedures but provides services as assigned by the supervisor responsible for his or her work. |
| Notes: Association of Professional Behavior Analysts, www.apbahome.net and Behavior Analyst Certification Board (http://www.bacb.com) [7/1/2016: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417556549 | Andrea Gadsby | Behavior Technician | 6225 Smith Ave Ste 100, Baltimore, MD 21209-3678 | 2020-10-20 |
| 1922605492 | Scott Miliman | Behavior Technician | 8207 Bendon Rd, Baltimore, MD 21208-1821 | 2020-10-07 |
| 1649877176 | Mary Elizabeth Reznick | Behavior Technician | 352 Nicholson Rd, Baltimore, MD 21221-6608 | 2020-10-07 |
| 1750988283 | Nathaniel Carlton Fortier | Behavior Technician | 1203 Windemere Ave, Baltimore, MD 21218-3014 | 2020-10-07 |
| 1457958076 | Katherine Hughes | Behavior Technician | 727 W 40th St Apt 337, Baltimore, MD 21211-2341 | 2020-10-06 |
| 1851998991 | Breanna Beardsley | Behavior Technician | 6225 Smith Ave, Baltimore, MD 21209-3626 | 2020-10-01 |
| 1730796160 | Toni Tawes | Behavior Technician | 7926 N Boundary Rd, Baltimore, MD 21222-3335 | 2020-09-29 |
| 1578170072 | Naloni Simone Johnson | Behavior Technician | 2500 Winchester St Apt B, Baltimore, MD 21216-4435 | 2020-09-28 |
| 1275140063 | Lea Mccray | Behavior Technician | 132 N Potomac St, Baltimore, MD 21224-1337 | 2020-09-25 |
| 1356958227 | Erica Kelley | Behavior Technician | 4326 Newport Ave, Baltimore, MD 21211-1233 | 2020-09-25 |
| 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.