Active NPI
Timothy Lilley
- Behavior Analyst
- Parkton, MD
National Provider Identifier
1023553534
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- Practice address
- 17709 Backbone Rd
Parkton, MD 21120-9649 - Phone
- (443) 827-1425
- NPI assigned
- Dec 20, 2016
- Last updated
- Jul 11, 2022
- Sex
- Male
- 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 Analyst | 103K00000X | NU | Primary |
Addresses
Primary practice location
17709 Backbone Rd
Parkton, MD 21120-9649
Mailing address
17709 Backbone Rd
Parkton, MD 21120-9649
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Integrative Behavior Care Services LLC | Behavior Analyst | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Behavior Analyst
- Parkton, MD
- NPI 1518827682
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1482192000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1657497600000",
"number": "1023553534",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "17709 BACKBONE RD",
"city": "PARKTON",
"state": "MD",
"postal_code": "211209649"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "17709 BACKBONE RD",
"city": "PARKTON",
"state": "MD",
"postal_code": "211209649",
"telephone_number": "443-827-1425"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LILLEY",
"first_name": "TIMOTHY",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2016-12-20",
"last_updated": "2022-07-11",
"certification_date": "2022-07-11",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Parkton, MD
- Katzen Medical Associates, PC (Katzen Eye Group)
- Karen Sue Kinsey, PT
- Steve F Kinsey, ATC
- Sarah Koehn, MS, LAT, ATC, EMT
- Arthur Sheldon Kovens, O.D.
- Morgan Alicia McCluskey Wirtz, PHARMD
- Thomas S Melanson, D.D.S.
- Phyllis Goodwin Merrill, IBCLC
- Mindful Motion Inc
- Mt Carmel Medical Inc (Mt Carmel Pharmacy)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.