Active NPI
Estelle Dora Yimdo
- Behavior Technician
- Rockville, MD
National Provider Identifier
1295157089
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Technician
- Practice address
- 11140 Rockville Pike Ste 100-807
Rockville, MD 20852-3106 - Phone
- (202) 751-6519
- NPI assigned
- Jan 13, 2014
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Respite Care Camp | 385HR2050X | |||
| Behavior Technician | 106S00000X | Primary | ||
| Home Health Aide | 374U00000X | HHA10146 | DC | |
| Other Technician | 247200000X |
Addresses
Primary practice location
11140 Rockville Pike Ste 100-807
Rockville, MD 20852-3106
Mailing address
20334 Beaconfield Ter Apt 102
Germantown, MD 20874-3915
Phone (202) 751-6519
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| HHA10146 | DC | MD | Home Health Aide |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Real Results ABA Services LLC | Behavior Technician | Current | Accepting new patients |
Locations
11140 Rockville Pike
Ste 100807
Rockville, MD 20852
Phone (202) 751-6519
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": "1389571200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1683849600000",
"number": "1295157089",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "20334 BEACONFIELD TER APT 102",
"city": "GERMANTOWN",
"state": "MD",
"postal_code": "208743915",
"telephone_number": "202-751-6519"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11140 ROCKVILLE PIKE STE 100-807",
"city": "ROCKVILLE",
"state": "MD",
"postal_code": "208523106",
"telephone_number": "202-751-6519"
}
],
"practiceLocations": [],
"basic": {
"last_name": "YIMDO",
"first_name": "ESTELLE DORA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2014-01-13",
"last_updated": "2023-05-12",
"certification_date": "2023-05-12",
"status": "A"
},
"taxonomies": [
{
"code": "385HR2050X",
"taxonomy_group": "",
"desc": "Respite Care, Respite Care Camp",
"state": null,
"license": null,
"primary": false
},
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": null,
"license": null,
"primary": true
},
{
"code": "374U00000X",
"taxonomy_group": "",
"desc": "Home Health Aide",
"state": "DC",
"license": "HHA10146",
"primary": false
},
{
"code": "247200000X",
"taxonomy_group": "",
"desc": "Technician, Other",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Rockville, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 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.