Active NPI
Aleah Poliakoff
- Behavior Technician
- Towson, MD
National Provider Identifier
1376121475
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Technician
- License
- BACB564400
- Practice address
- 1220 E Joppa Rd
Towson, MD 21286-5811 - Phone
- (443) 353-9547
- NPI assigned
- Mar 30, 2021
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | BACB564400 | GA | Primary |
Addresses
Primary practice location
1220 E Joppa Rd
Towson, MD 21286-5811
Mailing address
6350 Red Cedar PL Unit 110
Baltimore, MD 21209-5403
Phone (480) 246-4767
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
| License | State | Type | Specialty |
|---|---|---|---|
| BACB564400 | GA | MD | Behavior Technician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Core Therapy Services, LLC | Behavior Technician | Past | Accepting new patients |
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": "1617062400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1708300800000",
"number": "1376121475",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6350 RED CEDAR PL UNIT 110",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "212095403",
"telephone_number": "480-246-4767"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1220 E JOPPA RD",
"city": "TOWSON",
"state": "MD",
"postal_code": "212865811",
"telephone_number": "443-353-9547"
}
],
"practiceLocations": [],
"basic": {
"last_name": "POLIAKOFF",
"first_name": "ALEAH",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-03-30",
"last_updated": "2024-02-19",
"certification_date": "2024-02-19",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": "GA",
"license": "BACB564400",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Towson, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.