Active NPI
Gina Campoverde
- Behavior Analyst
- Beltsville, MD
National Provider Identifier
1053093625
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- License
- 1-21-53397
- Practice address
- 11720 Beltsville Dr
Beltsville, MD 20705-3166 - Phone
- (202) 790-8903
- Fax
- (301) 889-9735
- NPI assigned
- Aug 3, 2023
- Last updated
- Aug 3, 2023
- 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 Analyst | 103K00000X | 1-21-53397 | DE | Primary |
Addresses
Primary practice location
11720 Beltsville Dr
Beltsville, MD 20705-3166
Mailing address
11720 Beltsville Dr # 500A15
Beltsville, MD 20705-3166
Phone (202) 790-8903
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1691020800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1691020800000",
"number": "1053093625",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11720 BELTSVILLE DR # 500A15",
"city": "BELTSVILLE",
"state": "MD",
"postal_code": "207053166",
"telephone_number": "202-790-8903",
"fax_number": "301-889-9735"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11720 BELTSVILLE DR",
"city": "BELTSVILLE",
"state": "MD",
"postal_code": "207053166",
"telephone_number": "202-790-8903",
"fax_number": "301-889-9735"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CAMPOVERDE",
"first_name": "GINA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-08-03",
"last_updated": "2023-08-03",
"certification_date": "2023-08-03",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "DE",
"license": "1-21-53397",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Beltsville, MD
- Wendy Buskey, PSYD
- Alexi M Calderon Alvarenga, PHARMD
- Lumya Calderon
- Michelle Robledo Caluag
- Phoebe Campbell
- Capital Health Partners LLC
- Care Solutions Corporation (Family Preservation of America)
- Care Solutions Corporation (Family Preservation of America)
- Carecompass Pharmacy LLC
- Carecompass Pharmacy LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.