Individual provider Active NPI

Bryant Dean

  • Behavior Analyst
  • Berlin, MD
National Provider Identifier
1124762158
Registry record updated Sep 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
1-25-78897 Issued in MD
Practice address
617 Franklin Ave
Berlin, MD 21811-1358
Phone
(302) 604-2424
NPI assigned
Apr 26, 2022
Last updated
Sep 10, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 10, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Analyst 103K00000X 1-25-78897 MD Primary
Behavior Technician 106S00000X RBT-22-212124 MD

Addresses

Primary practice location

617 Franklin Ave
Berlin, MD 21811-1358

Mailing address

617 Franklin Ave
Berlin, MD 21811-1358
Phone (302) 604-2424

Other practice location 1

7120 Samuel Morse Dr Ste 150
Columbia, MD 21046-3420
Phone (888) 344-5977

Other practice location 2

26633 Zion Church Rd
Milton, DE 19968-2964
Phone (302) 212-7091

Other identifiers 1

IdentifierTypeStateIssuer
523411500MedicaidMD

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

State licenses

LicenseStateTypeSpecialty
RBT-22-212124MDMDBehavior Technician

NPI Registry JSON

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

{
    "created_epoch": "1650931200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757462400000",
    "number": "1124762158",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "617 FRANKLIN AVE",
            "city": "BERLIN",
            "state": "MD",
            "postal_code": "218111358",
            "telephone_number": "302-604-2424"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "617 FRANKLIN AVE",
            "city": "BERLIN",
            "state": "MD",
            "postal_code": "218111358",
            "telephone_number": "302-604-2424"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7120 Samuel Morse Dr Ste 150",
            "address_purpose": "LOCATION",
            "city": "Columbia",
            "state": "MD",
            "postal_code": "210463420",
            "country_code": "US",
            "telephone_number": "888-344-5977",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "26633 Zion Church Rd",
            "address_purpose": "LOCATION",
            "city": "Milton",
            "state": "DE",
            "postal_code": "199682964",
            "country_code": "US",
            "telephone_number": "302-212-7091",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DEAN",
        "first_name": "BRYANT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-04-26",
        "last_updated": "2025-09-10",
        "certification_date": "2025-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "MD",
            "license": "1-25-78897",
            "primary": true
        },
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "MD",
            "license": "RBT-22-212124",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "523411500",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Berlin, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 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.