Organization Active NPI

Neurosprout ABA MD LLC

  • Behavior Analyst
  • Baltimore, MD
National Provider Identifier
1083412928
Registry record updated Feb 16, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
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

Updated by the provider on Feb 16, 2026

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)CodeLicenseStatePrimary
Behavior AnalystGroup: 193200000X MULTI-SPECIALTY GROUP 103K00000X Primary
Behavior TechnicianGroup: 193200000X MULTI-SPECIALTY GROUP 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 LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

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.

Verify at the official NPI Registry.