Issamar Woghiren

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

Practice address

10015 Old Columbia Rd Ste B-125
Columbia, MD 21046-1703

Phone

(443) 542-5820

NPI assigned

Dec 22, 2016

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

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.

• Snowflakes ABA, LLC

  • Behavior Analyst
  • Columbia, MD
  • NPI 1932658721
  NPD (past)

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

{
    "created_epoch": "1482364800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1679443200000",
    "number": "1386189611",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10015 OLD COLUMBIA RD",
            "city": "COLUMBIA",
            "state": "MD",
            "postal_code": "210461703"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10015 OLD COLUMBIA RD STE B-125",
            "city": "COLUMBIA",
            "state": "MD",
            "postal_code": "210461703",
            "telephone_number": "443-542-5820"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOGHIREN",
        "first_name": "ISSAMAR",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-12-22",
        "last_updated": "2023-03-22",
        "certification_date": "2022-01-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "424437100",
            "state": "MD"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "issamar@snowflakesaba.com",
            "affiliation": "N",
            "address_1": "10015 Old Columbia Rd Ste B-125",
            "city": "Columbia",
            "state": "MD",
            "country_code": "US",
            "postal_code": "210461703",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Deidra L Witherspoon, RN
• James Garfield Withey, M.D.
• Jessica Witt, MS, CNS, LDN
• Witt'S End Nutrition
• Rhonda Witte, RN,BSN
• Wubet Alemu Woldesemayate
• Mary Ellen Wolf
• Christina Wolfe, RDH
• Scott Thomas Wolfe, PH.D.
• Kamryn Hailey Wolford

• Behavior Analyst in Columbia, MD
• Providers in Columbia, MD by specialty
• Behavior Analyst in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 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.