Organization Active NPI

Gold Heart ABA MD LLC

  • Behavior Analyst
  • Baltimore, MD
National Provider Identifier
1083500490
Registry record updated Jun 13, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
Legal business name
GOLD HEART ABA MD LLC
Practice address
5700 Smith Ave Unit 101
Baltimore, MD 21209-3610
Phone
(732) 637-9359
Fax
(732) 719-5787
NPI assigned
Jun 13, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 13, 2025

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

Authorized official

Name
Yehoushua Tyberg
Title
Director
Phone
(732) 813-5603

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior AnalystGroup: 193200000X MULTI-SPECIALTY GROUP 103K00000X Primary
Behavior TechnicianGroup: 193200000X MULTI-SPECIALTY GROUP 106S00000X
Community/Behavioral Health Agency 251S00000X

Addresses

Primary practice location

5700 Smith Ave Unit 101
Baltimore, MD 21209-3610

Mailing address

5700 Smith Ave Unit 101
Baltimore, MD 21209-3610
Phone (732) 637-9359

National Provider Directory

National Provider Directory

Locations

5700 Smith Ave
Unit 101
Baltimore, MD 21209
Phone (732) 637-9359

NPI Registry JSON

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

{
    "created_epoch": "1749772800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1749772800000",
    "number": "1083500490",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5700 SMITH AVE UNIT 101",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212093610",
            "telephone_number": "732-637-9359",
            "fax_number": "732-719-5787"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5700 SMITH AVE UNIT 101",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212093610",
            "telephone_number": "732-637-9359",
            "fax_number": "732-719-5787"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOLD HEART ABA MD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-06-13",
        "last_updated": "2025-06-13",
        "certification_date": "2025-06-13",
        "status": "A",
        "authorized_official_last_name": "TYBERG",
        "authorized_official_first_name": "YEHOUSHUA",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "732-813-5603"
    },
    "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
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "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 Jun 13, 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.