Individual provider Active NPI

Estelle Dora Yimdo

  • Behavior Technician
  • Rockville, MD
National Provider Identifier
1295157089
Registry record updated May 12, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior TechnicianTaxonomy code 106S00000X
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

Updated by the provider on May 12, 2023

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
HHA10146DCMDHome Health Aide

Practice roles

OrganizationSpecialtyStatusNew patients
Real Results ABA Services LLC Behavior Technician CurrentSince May 13, 2021 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.

Verify at the official NPI Registry.