An Incredible Me ABA MD LLC

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

Legal business name

AN INCREDIBLE ME ABA MD LLC

Practice address

6865 Deerpath Rd Ste 101
Elkridge, MD 21075-6255

Phone

(410) 220-0025

NPI assigned

Jan 24, 2025

Last updated

Jan 24, 2025By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Moshe Krupenia

Title

Ceo

Phone

(919) 335-4463

Specialties & licenses 2

Addresses

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

{
    "created_epoch": "1737676800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1737676800000",
    "number": "1114739224",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "33 WOOD AVE S STE 600",
            "city": "ISELIN",
            "state": "NJ",
            "postal_code": "088302717"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6865 DEERPATH RD STE 101",
            "city": "ELKRIDGE",
            "state": "MD",
            "postal_code": "210756255",
            "telephone_number": "410-220-0025"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AN INCREDIBLE ME ABA MD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-01-24",
        "last_updated": "2025-01-24",
        "certification_date": "2025-01-24",
        "status": "A",
        "authorized_official_last_name": "KRUPENIA",
        "authorized_official_first_name": "MOSHE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "919-335-4463"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Behavior Analyst in Elkridge, MD
• Providers in Elkridge, MD by specialty
• Behavior Analyst in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 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.