Individual provider Active NPI

Janus Raphaelidis, BCBA, LBA

  • Behavior Analyst
  • Columbia, MD
National Provider Identifier
1073058467
Registry record updated May 2, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
Practice address
7120 Samuel Morse Dr Ste 150
Columbia, MD 21046-3420
Phone
(443) 293-2314
NPI assigned
Dec 21, 2016
Last updated
May 2, 2025By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 2, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Analyst 103K00000X LBA372 MD
Behavior Analyst 103K00000X NU Primary
Behavior Technician 106S00000X 0000000000000000000 MD

Addresses

Primary practice location

7120 Samuel Morse Dr Ste 150
Columbia, MD 21046-3420

Mailing address

7120 Samuel Morse Dr Ste 150
Columbia, MD 21046-3420
Phone (443) 293-2314

Other practice location 1

12410 Milestone Center Dr Ste 600
Germantown, MD 20876-7102
Phone (410) 874-5215

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

LicenseStateTypeSpecialty
LBA372MDMDBehavioral Analyst
0000000000000000000MDMDBehavior Technician

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1482278400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1746144000000",
    "number": "1073058467",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7120 SAMUEL MORSE DR STE 150",
            "city": "COLUMBIA",
            "state": "MD",
            "postal_code": "210463420",
            "telephone_number": "443-293-2314"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7120 SAMUEL MORSE DR STE 150",
            "city": "COLUMBIA",
            "state": "MD",
            "postal_code": "210463420",
            "telephone_number": "443-293-2314"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "12410 Milestone Center Dr Ste 600",
            "address_purpose": "LOCATION",
            "city": "Germantown",
            "state": "MD",
            "postal_code": "208767102",
            "country_code": "US",
            "telephone_number": "410-874-5215",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RAPHAELIDIS",
        "first_name": "JANUS",
        "name_prefix": "Mr.",
        "credential": "BCBA, LBA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-12-21",
        "last_updated": "2025-05-02",
        "certification_date": "2025-05-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "MD",
            "license": "LBA372",
            "primary": false
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "MD",
            "license": "0000000000000000000",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbia, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.