David R Pack
Individual provider Active NPI Behavior Technician · Finksburg, MD
NPI 1063247641 · NPPES record last updated Mar 4, 2026
Key facts
- NPI
- 1063247641
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Behavior Technician 106S00000X
- Practice address
- 1900 Suffolk Rd
Finksburg, MD 21048-1629 - Phone
- (443) 244-2095
- NPI assigned
- Sep 4, 2024
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | Yes |
Addresses
Primary practice location
1900 Suffolk Rd
Finksburg, MD 21048-1629
Mailing address
418 Stacy Lee CT
Westminster, MD 21158-9421
Phone (443) 244-2095
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All providers in Finksburg, MD · Behavior Technician in Maryland
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 4, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.