Active NPI
Neurosprout ABA MD LLC
- Behavior Analyst
- Baltimore, MD
National Provider Identifier
1083412928
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- Legal business name
- NEUROSPROUT ABA MD LLC
- Practice address
- 1777 Reisterstown Rd Ste 290
Baltimore, MD 21208-1390 - Phone
- (213) 332-8893
- NPI assigned
- Mar 6, 2025
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Issac Cohen
- Title
- Credentialing Specialist
- Phone
- (213) 000-1000
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | Primary | ||
| Behavior Technician | 106S00000X |
Addresses
Primary practice location
1777 Reisterstown Rd Ste 290
Baltimore, MD 21208-1390
Mailing address
1241 Edris Dr
Los Angeles, CA 90035-1113
Phone (213) 332-8893
National Provider Directory
National Provider Directory- Tax ID family
- Neurosprout ABA MD LLC
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Psychiatric/Mental Health Nurse Practitioner
- Lutherville, MD
- NPI 1659164358
Locations
1777 Reisterstown Rd
Ste 290
Baltimore, MD 21208
Phone (213) 332-8893
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1741219200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1771200000000",
"number": "1083412928",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1241 EDRIS DR",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900351113",
"telephone_number": "213-332-8893"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1777 REISTERSTOWN RD STE 290",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "212081390",
"telephone_number": "213-332-8893"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NEUROSPROUT ABA MD LLC",
"organizational_subpart": "NO",
"enumeration_date": "2025-03-06",
"last_updated": "2026-02-16",
"certification_date": "2026-02-16",
"status": "A",
"authorized_official_last_name": "COHEN",
"authorized_official_first_name": "ISSAC",
"authorized_official_title_or_position": "CREDENTIALING SPECIALIST",
"authorized_official_telephone_number": "213-000-1000"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Behavior Analyst",
"state": null,
"license": null,
"primary": true
},
{
"code": "106S00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Behavior Technician",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Baltimore, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.