Active NPI
Gloria Marie Vance
- Behavior Technician
- Hampstead, MD
National Provider Identifier
1013674688
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Technician
- License
- RBT-21-190937
- Practice address
- 3966 Christopher Way
Hampstead, MD 21074-1655 - Phone
- (433) 952-0040
- NPI assigned
- Nov 18, 2021
- Last updated
- Nov 18, 2021
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | RBT-21-190937 | MD | Primary |
Addresses
Primary practice location
3966 Christopher Way
Hampstead, MD 21074-1655
Mailing address
3966 Christopher Way
Hampstead, MD 21074-1655
Phone (433) 952-0040
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RBT-21-190937 | MD | MD | Behavior Technician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1637193600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1637193600000",
"number": "1013674688",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3966 CHRISTOPHER WAY",
"city": "HAMPSTEAD",
"state": "MD",
"postal_code": "210741655",
"telephone_number": "433-952-0040"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3966 CHRISTOPHER WAY",
"city": "HAMPSTEAD",
"state": "MD",
"postal_code": "210741655",
"telephone_number": "433-952-0040"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VANCE",
"first_name": "GLORIA",
"middle_name": "MARIE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-11-18",
"last_updated": "2021-11-18",
"certification_date": "2021-11-18",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": "MD",
"license": "RBT-21-190937",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Hampstead, MD
- Theodore Vincent Szymanski, DDS
- Taneytown Chiropractic and Wellness LLC
- The Hampstead Volunteer Fire Engine and Hose Company No 1
- Julie Twigg, PMHNP-BC
- Peter G Uggowitzer, MD
- Johanna Sofia Vonhagn, PA-C
- Alynne Beri Wagner
- Kay Irene Wagner, DVM
- Wal-Mart Stores East LP (Wal-Mart Pharmacy 10-2850)
- Wal-Mart Stores East LP (Vision Center 30-2850)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.