Active NPI
Devin Ebron
- Behavior Technician
- Lanham, MD
National Provider Identifier
1114595642
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Technician
- Practice address
- 9500 Annapolis Rd Ste B2C2C3
Lanham, MD 20706-2060 - Phone
- (301) 850-1148
- NPI assigned
- Jun 11, 2021
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | Primary |
Addresses
Primary practice location
9500 Annapolis Rd Ste B2C2C3
Lanham, MD 20706-2060
Mailing address
23315 Robin Song Dr
Clarksburg, MD 20871-4500
Phone (240) 543-4797
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": "1623369600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1623369600000",
"number": "1114595642",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "23315 ROBIN SONG DR",
"city": "CLARKSBURG",
"state": "MD",
"postal_code": "208714500",
"telephone_number": "240-543-4797"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9500 ANNAPOLIS RD STE B2C2C3",
"city": "LANHAM",
"state": "MD",
"postal_code": "207062060",
"telephone_number": "301-850-1148"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EBRON",
"first_name": "DEVIN",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2021-06-11",
"last_updated": "2021-06-11",
"certification_date": "2021-06-11",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lanham, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.