Maxim Healthcare Services

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

Legal business name

MAXIM HEALTHCARE SERVICES

Practice address

293 Independence Blvd Ste 400
Virginia Beach, VA 23462-5461

Phone

(757) 785-3338

NPI assigned

Jan 24, 2023

Organization subpart

No

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

Authorized official

Name

Brendan Matthias Wagner, RBTNPI 1003522749

Title

Registered Behavior Technician

Phone

(571) 420-1409

Specialties & licenses 1

Addresses

Other names 1

• Maxim Healthcare Services Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Brendan Matthias Wagner, RBT

  • Behavior Technician
  • Virginia Beach, VA
  • NPI 1003522749
  NPD Authorized official

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

{
    "created_epoch": "1674518400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1674518400000",
    "number": "1164138178",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "293 INDEPENDENCE BLVD STE 400",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234625461",
            "telephone_number": "757-785-3338"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "293 INDEPENDENCE BLVD STE 400",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234625461",
            "telephone_number": "757-785-3338"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAXIM HEALTHCARE SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-01-24",
        "last_updated": "2023-01-24",
        "certification_date": "2023-01-18",
        "status": "A",
        "authorized_official_last_name": "WAGNER",
        "authorized_official_first_name": "BRENDAN",
        "authorized_official_middle_name": "MATTHIAS",
        "authorized_official_title_or_position": "REGISTERED BEHAVIOR TECHNICIAN",
        "authorized_official_telephone_number": "571-420-1409",
        "authorized_official_credential": "RBT"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Maxim Healthcare Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Caroline Davis Maurette
• Carter Jack Mavromatis, DMD
• Corey Mavromatis, DMD
• Jack Mavromatis, D.D.S.
• Komi Mawussi
• Maxim Healthcare Services
• Maxim Healthcare Services Inc.
• Maxim Healthcare Services, Inc.
• Maximum Care Transportation LLC
• Carol Allicia Ann Maxwell, APRN

• Behavior Technician in Virginia Beach, VA
• Providers in Virginia Beach, VA by specialty
• Behavior Technician in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2023; 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.