Crystal Bridge LLC

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

Legal business name

CRYSTAL BRIDGE LLC

Practice address

4 Softwinds CT
Owings Mills, MD 21117-1368

Phone

(667) 273-1449

NPI assigned

Aug 3, 2026

Last updated

Aug 3, 2026By 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

Sherifat Oluwatoyin LawalNPI 1629966486

Title

Owner

Phone

(667) 273-1449

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Sherifat Oluwatoyin Lawal

  • Behavior Technician
  • Owings Mills, MD
  • NPI 1629966486
  Authorized official Same address or phone

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

{
    "created_epoch": "1785715200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1785715200000",
    "number": "1124941430",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4 SOFTWINDS CT",
            "city": "OWINGS MILLS",
            "state": "MD",
            "postal_code": "211171368"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4 SOFTWINDS CT",
            "city": "OWINGS MILLS",
            "state": "MD",
            "postal_code": "211171368",
            "telephone_number": "667-273-1449"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CRYSTAL BRIDGE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-08-03",
        "last_updated": "2026-08-03",
        "certification_date": "2026-08-03",
        "status": "A",
        "authorized_official_last_name": "LAWAL",
        "authorized_official_first_name": "SHERIFAT",
        "authorized_official_middle_name": "OLUWATOYIN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "667-273-1449"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Behavior Analyst in Owings Mills, MD
• Providers in Owings Mills, MD by specialty
• Behavior Analyst in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2026; 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.