Active NPI
Tigist Admas Gelaw, BCBA
- Behavior Analyst
- Oakland, MD
National Provider Identifier
1104483312
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- License
- 1-21-57266
- Practice address
- 5000 Thayer Ctr
Oakland, MD 21550-1139 - Phone
- (904) 217-9531
- NPI assigned
- May 22, 2019
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | |||
| Behavior Analyst | 103K00000X | 1-21-57266 | DC | Primary |
Addresses
Primary practice location
5000 Thayer Ctr
Oakland, MD 21550-1139
Mailing address
625 Otis PL NW
Washington, DC 20010-1701
Phone (202) 460-1629
Other practice location 1
601 Pennsylvania Ave NW
Washington, DC 20004-2601
Phone (855) 832-6727
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1558483200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1648857600000",
"number": "1104483312",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "625 OTIS PL NW",
"city": "WASHINGTON",
"state": "DC",
"postal_code": "200101701",
"telephone_number": "202-460-1629"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5000 THAYER CTR",
"city": "OAKLAND",
"state": "MD",
"postal_code": "215501139",
"telephone_number": "904-217-9531"
}
],
"practiceLocations": [
{
"address_1": "601 Pennsylvania Ave NW",
"address_purpose": "LOCATION",
"city": "Washington",
"state": "DC",
"postal_code": "200042601",
"country_code": "US",
"telephone_number": "855-832-6727",
"fax_number": "772-675-9100",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GELAW",
"first_name": "TIGIST",
"middle_name": "ADMAS",
"credential": "BCBA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-05-22",
"last_updated": "2022-04-02",
"certification_date": "2022-03-29",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": null,
"license": null,
"primary": false
},
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "DC",
"license": "1-21-57266",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Oakland, MD
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- Amanda Golub, PHARM. D.
- Goodwill Home Care LLC
- Elyzabeth Ruta Savage Goralski, CRNP
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.