Jamar Tali Bumpass, BT
Individual provider Active NPI Behavior Technician · Crofton, MD
NPI 1104719715 · NPPES record last updated Jun 2, 2025
Key facts
- NPI
- 1104719715
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Behavior Technician 106S00000X
- Practice address
- 1651 Crofton Blvd Ste 6
Crofton, MD 21114-1314 - Phone
- (844) 244-1818
- NPI assigned
- Jun 2, 2025
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Bachelor of Theology
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | Yes |
Addresses
Primary practice location
1651 Crofton Blvd Ste 6
Crofton, MD 21114-1314
Mailing address
1500 S Douglas Rd Ste 230
Coral Gables, FL 33134-4108
Phone (844) 244-1818
Other providers in Crofton, MD
- Jason Brown
- Lindsay Brown
- Elise Bruce
- Michele Buchanan-Tyler
- Kathryn Bucher
- Robin Monique Bunting
- Delores Estelle Burrill
- Cynthia Lee Butler
- Kierra Butler
- Robin Buxton
All providers in Crofton, MD · Behavior Technician in Maryland
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 2, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.