Eagles Will

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

Legal business name

EAGLES WILL

Practice address

3809 Clarks LN Ste 100C
Baltimore, MD 21215-2749

Phone

(917) 648-4292

NPI assigned

Nov 7, 2023

Last updated

Nov 13, 2023By 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

Mr. Michael Fischman

Title

Ceo

Phone

(917) 648-4292

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1699315200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1699833600000",
    "number": "1417721820",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1413 38TH ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112183613",
            "telephone_number": "718-885-8055"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3809 CLARKS LN STE 100C",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212152749",
            "telephone_number": "917-648-4292"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EAGLES WILL",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-11-07",
        "last_updated": "2023-11-13",
        "certification_date": "2023-11-13",
        "status": "A",
        "authorized_official_last_name": "FISCHMAN",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "917-648-4292",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• E&S Recovery LLC
• Each1Teach1 Community Health,LLC
• Each1Teach1 Community Health,LLC
• Stacey Laurine Eadie, D.O.
• Melissa Eagen
• Brittany Eagles, PT, DPT
• Mackenzie Anne Eagleson, M.D.
• Kristen Lara Eaker, CPNP
• Michelle Nuttall Eakin, PH.D.
• Rachel Alexa Eakins, MD

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 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.