Active NPI
Maryland Behavior LLC
- Community/Behavioral Health Agency
- Baltimore, MD
National Provider Identifier
1407615339
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Behavioral Health Agency
- Legal business name
- MARYLAND BEHAVIOR LLC
- Practice address
- 400 E Pratt St FL 8
Baltimore, MD 21202-3180 - Phone
- (718) 633-4411
- NPI assigned
- Mar 14, 2024
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Israel Benedek
- Title
- Ceo
- Phone
- (718) 633-4411
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Behavioral Health Agency | 251S00000X | Primary |
Addresses
Primary practice location
400 E Pratt St FL 8
Baltimore, MD 21202-3180
Mailing address
6214 24TH Ave
Brooklyn, NY 11204-3319
Other names 1
- Heartland ABA
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1710374400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1710374400000",
"number": "1407615339",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6214 24TH AVE",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112043319"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "400 E PRATT ST FL 8",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "212023180",
"telephone_number": "718-633-4411"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MARYLAND BEHAVIOR LLC",
"organizational_subpart": "NO",
"enumeration_date": "2024-03-14",
"last_updated": "2024-03-14",
"certification_date": "2024-03-14",
"status": "A",
"authorized_official_last_name": "BENEDEK",
"authorized_official_first_name": "ISRAEL",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "718-633-4411"
},
"taxonomies": [
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Heartland ABA",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Baltimore, MD
- Maryland and Virginia Phlebology PC
- Maryland Anesthesia Consortium, LLC
- Maryland Asthma and Allergy Center CHTD
- Maryland Baptist Aged Home
- Maryland Baptist Aged Home of the United Baptist Missionary Conven
- Maryland Behavioral Health Care LLC
- Maryland Behavioral Health Care LLC
- Maryland Behavioral Health Care LLC
- Maryland Care Center
- Maryland Care Experts, LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 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.