Organization Active NPI

Shining Moments MD ABA LLC

  • Behavior Analyst
  • Baltimore, MD
National Provider Identifier
1174411045
Registry record updated Jun 27, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
Legal business name
SHINING MOMENTS MD ABA LLC
Practice address
6340 Security Blvd Ste 1425
Baltimore, MD 21207-5173
Phone
(917) 494-2481
Fax
(908) 573-9414
NPI assigned
Jun 27, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 27, 2025

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

Authorized official

Name
Brittany Marshall
Title
RCM
Phone
(713) 837-7655

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior AnalystGroup: 193400000X SINGLE SPECIALTY GROUP 103K00000X Primary

Addresses

Primary practice location

6340 Security Blvd Ste 1425
Baltimore, MD 21207-5173

Mailing address

6340 Security Blvd Ste 1425
Baltimore, MD 21207-5173

National Provider Directory

National Provider Directory

Locations

6340 Security Blvd
Ste 1425
Baltimore, MD 21207
Phone (917) 494-2481

NPI Registry JSON

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

{
    "created_epoch": "1750982400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1750982400000",
    "number": "1174411045",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6340 SECURITY BLVD STE 1425",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212075173",
            "fax_number": "908-573-9414"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6340 SECURITY BLVD STE 1425",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212075173",
            "telephone_number": "917-494-2481",
            "fax_number": "908-573-9414"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHINING MOMENTS MD ABA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-06-27",
        "last_updated": "2025-06-27",
        "certification_date": "2025-06-27",
        "status": "A",
        "authorized_official_last_name": "MARSHALL",
        "authorized_official_first_name": "BRITTANY",
        "authorized_official_title_or_position": "RCM",
        "authorized_official_telephone_number": "713-837-7655"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Baltimore, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 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.