Individual provider Active NPI

Eric Hodge Santos

  • Behavior Technician
  • Greenbelt, MD
National Provider Identifier
1174245823
Registry record updated Sep 19, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior TechnicianTaxonomy code 106S00000X
License
RBT-22-233069 Issued in MD
Practice address
6305 Ivy LN Ste 610
Greenbelt, MD 20770-6363
Phone
(202) 790-8903
NPI assigned
Sep 19, 2022
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 19, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Technician 106S00000X RBT-22-233069 MD Primary

Addresses

Primary practice location

6305 Ivy LN Ste 610
Greenbelt, MD 20770-6363

Mailing address

6305 Ivy LN Ste 610
Greenbelt, MD 20770-6363
Phone (202) 790-8903

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-22-233069MDMDBehavior Technician

Practice roles

OrganizationSpecialtyStatusNew patients
Children'S Milestone Corp CurrentSince Sep 25, 2022 Accepting new patients

Locations

6305 Ivy Ln
Ste 610
Greenbelt, MD 20770
Phone (202) 644-2483

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1663545600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1663545600000",
    "number": "1174245823",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6305 IVY LN STE 610",
            "city": "GREENBELT",
            "state": "MD",
            "postal_code": "207706363",
            "telephone_number": "202-790-8903"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6305 IVY LN STE 610",
            "city": "GREENBELT",
            "state": "MD",
            "postal_code": "207706363",
            "telephone_number": "202-790-8903"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HODGE SANTOS",
        "first_name": "ERIC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-09-19",
        "last_updated": "2022-09-19",
        "certification_date": "2022-09-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "MD",
            "license": "RBT-22-233069",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenbelt, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2022; 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.