Niko Cornejo

Individual provider Active NPI Behavior Technician · Thurmont, MD

NPI 1386572840 · NPPES record last updated May 13, 2026

Key facts

NPI
1386572840
Entity type
Individual (NPI type 1)
Primary specialty
Behavior Technician 106S00000X
Practice address
6504 Mountaindale Rd
Thurmont, MD 21788-2719
Phone
(443) 243-7647
NPI assigned
May 13, 2026
Sex
Unspecified or another gender identity
Sole proprietor
No

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.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Practice roles

OrganizationSpecialtyStatusNew patients
Applied Behavior and Learning Consultants, LLC Past
since Feb 25, 2024
Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Technician 106S00000X Yes

Addresses

Primary practice location

6504 Mountaindale Rd
Thurmont, MD 21788-2719

Mailing address

6504 Mountaindale Rd
Thurmont, MD 21788-2719
Phone (443) 243-7647

Other providers in Thurmont, MD

All providers in Thurmont, MD · Behavior Technician in Maryland

Sources for this page

Verify at the official NPI Registry.