Active NPI
Isaiah Frederick
- Behavior Technician
- Germantown, MD
National Provider Identifier
1396509089
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Technician
- Practice address
- 13322 Waterside Cir
Germantown, MD 20874-3735 - Phone
- (240) 487-8438
- NPI assigned
- Feb 12, 2024
- Last updated
- Jun 18, 2025
- Sex
- Male
- Sole proprietor
- No
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 | Primary |
Addresses
Primary practice location
13322 Waterside Cir
Germantown, MD 20874-3735
Mailing address
7120 Samuel Morse Dr Ste 150
Columbia, MD 21046-3420
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1707696000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1750204800000",
"number": "1396509089",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7120 SAMUEL MORSE DR STE 150",
"city": "COLUMBIA",
"state": "MD",
"postal_code": "210463420"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13322 WATERSIDE CIR",
"city": "GERMANTOWN",
"state": "MD",
"postal_code": "208743735",
"telephone_number": "240-487-8438"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FREDERICK",
"first_name": "ISAIAH",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2024-02-12",
"last_updated": "2025-06-18",
"certification_date": "2025-06-18",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Germantown, MD
- Mariatu Fornah
- Fox Chapel Animal Hospital
- Robert Louis Fox, M.D
- Gregory M Frank, DMD
- Frederick Foot and Ankle Specialists, P.C.
- Fresenius Medical Care Germantown, LLC (Fresenius Kidney Care Germantown)
- Kyle James Fuerst, PT
- Julius Fuh
- Katharine Paige Fulton, LCPC, LCADC
- G.M.L. Services and Medical Tech (G.M.L Services and Medical tech LLC)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.