Behavior Change Incorporated

Primary specialty

Adolescent and Children Mental Health Clinic/CenterTaxonomy code 261QM0855X

Legal business name

BEHAVIOR CHANGE INCORPORATED

Practice address

2126 E Baltimore St
Baltimore, MD 21231-2041

Phone

(804) 519-1360

NPI assigned

Mar 9, 2010

Last updated

Mar 9, 2010By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Miss Samantha Hardesty, M.A., BCBANPI 1730515966

Title

Co-Owner

Phone

(804) 519-1360

Specialties & licenses 1

Addresses

Tax ID family

Behavior Change Incorporated2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Behavior Change Incorporated

  • Point of Service
  • Baltimore, MD
  • NPI 1073751293
  NPD tax ID

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Samantha Lynn Hardesty, M.A., BCBA

  • Behavior Analyst
  • Baltimore, MD
  • NPI 1730515966
  NPD (past) Authorized official

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

{
    "created_epoch": "1268092800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1268092800000",
    "number": "1386967057",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2126 E BALTIMORE ST",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212312041",
            "telephone_number": "804-519-1360"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2126 E BALTIMORE ST",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212312041",
            "telephone_number": "804-519-1360"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BEHAVIOR CHANGE INCORPORATED",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-03-09",
        "last_updated": "2010-03-09",
        "status": "A",
        "authorized_official_last_name": "HARDESTY",
        "authorized_official_first_name": "SAMANTHA",
        "authorized_official_title_or_position": "CO-OWNER",
        "authorized_official_telephone_number": "804-519-1360",
        "authorized_official_name_prefix": "Miss",
        "authorized_official_credential": "M.A., BCBA"
    },
    "taxonomies": [
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Begin Anew, Inc.
• Katherine Ann Begley, MD
• Suraiya Begum, M.D.
• Ajay Behari, M.D.
• Behavior Change Incorporated
• Behavioral Health & Leadership Dynamics, LLC
• Behavioral Health and Reiki Healing Enterprise
• Behavioral Health Leadership Institute, Inc
• Behavioral Health Leadership Institute, Inc
• Behavioral Health Network LLC

• Adolescent and Children Mental Health Clinic/Center in Baltimore, MD
• Providers in Baltimore, MD by specialty
• Adolescent and Children Mental Health Clinic/Center in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2010; 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.