Allison Rettaliata

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

Practice address

2725 Maple Ave
Parkville, MD 21234-5610

Phone

(317) 361-9966

NPI assigned

Sep 5, 2022

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Electronic endpoints 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

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.

• Harbor Bay Learning, LLC

  • Behavior Analyst
  • Brunswick, MD
  • NPI 1710621859

  Behavior Technician

  NPD (past)

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

{
    "created_epoch": "1662336000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1662336000000",
    "number": "1427779909",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2725 MAPLE AVE",
            "city": "PARKVILLE",
            "state": "MD",
            "postal_code": "212345610",
            "telephone_number": "317-361-9966"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2725 MAPLE AVE",
            "city": "PARKVILLE",
            "state": "MD",
            "postal_code": "212345610",
            "telephone_number": "317-361-9966"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RETTALIATA",
        "first_name": "ALLISON",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-09-05",
        "last_updated": "2022-09-05",
        "certification_date": "2022-09-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "MD",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "008986900",
            "state": "MD"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100282840",
            "state": "MD"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "light@harborbaylearning.com",
            "affiliation": "N",
            "endpointDescription": "direct messaging address",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "direct messaging address",
            "address_1": "2725 Maple Ave",
            "city": "Parkville",
            "state": "MD",
            "country_code": "US",
            "postal_code": "212345610",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "www.harborbaylearners.com",
            "affiliation": "N",
            "endpointDescription": "website",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "contact information",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "contact information",
            "address_1": "2725 Maple Ave",
            "city": "Parkville",
            "state": "MD",
            "country_code": "US",
            "postal_code": "212345610",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Restored Living LLC
• Restored Living LLC
• Restored Living LLC
• Restored Living LLC
• Restored Living LLC
• Fe Tavernero Reyes Dollete, MD
• Mary Rose Reyes, OTR/L
• Hillary Caitlin Rice, CRNP
• Kianna Richardson, MS, LMSW
• Brooke Richman, MA LGPC

• Behavior Technician in Parkville, MD
• Providers in Parkville, MD by specialty
• Behavior Technician in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 2022; 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.