Individual provider Active NPI

Trenna Theresa Todt, RBT

  • Behavior Technician
  • Lanham, MD
National Provider Identifier
1326655440
Registry record updated Jan 11, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior TechnicianTaxonomy code 106S00000X
License
RBT-20-113766 Issued in OH
Practice address
4301 Forbes Blvd Ste B
Lanham, MD 20706-4446
Phone
(440) 503-8550
NPI assigned
Sep 24, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 11, 2021

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-20-113766 OH Primary

Addresses

Primary practice location

4301 Forbes Blvd Ste B
Lanham, MD 20706-4446

Mailing address

4301 Forbes Blvd Ste B
Lanham, MD 20706-4446

Other practice location 1

18151 Jefferson Park Rd
Cleveland, OH 44130-3496
Phone (330) 967-0325

Other practice location 2

7090 Samuel Morse Dr Ste 100
Columbia, MD 21046-3444
Phone (855) 910-6147

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-20-113766OHMDBehavior Technician

NPI Registry JSON

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

{
    "created_epoch": "1600905600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1610323200000",
    "number": "1326655440",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4301 FORBES BLVD STE B",
            "city": "LANHAM",
            "state": "MD",
            "postal_code": "207064446"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4301 FORBES BLVD STE B",
            "city": "LANHAM",
            "state": "MD",
            "postal_code": "207064446",
            "telephone_number": "440-503-8550"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "18151 Jefferson Park Rd",
            "address_purpose": "LOCATION",
            "city": "Cleveland",
            "state": "OH",
            "postal_code": "441303496",
            "country_code": "US",
            "telephone_number": "330-967-0325",
            "fax_number": "317-520-8200",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7090 Samuel Morse Dr Ste 100",
            "address_purpose": "LOCATION",
            "city": "Columbia",
            "state": "MD",
            "postal_code": "210463444",
            "country_code": "US",
            "telephone_number": "855-910-6147",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TODT",
        "first_name": "TRENNA",
        "middle_name": "THERESA",
        "credential": "RBT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-09-24",
        "last_updated": "2021-01-11",
        "certification_date": "2021-01-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "OH",
            "license": "RBT-20-113766",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lanham, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2021; 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.