Individual provider Active NPI

Miriam Newmark, MS ED, BCBA, LBA

  • Behavior Analyst
  • Baltimore, MD
National Provider Identifier
1447708391
Registry record updated Sep 6, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
1-14-16058 Issued in NJ
Practice address
7 Church LN Ste 26
Baltimore, MD 21208-3710
Phone
(410) 424-7000
NPI assigned
Sep 20, 2016
Last updated
Sep 6, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 6, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Analyst 103K00000X LBA247 MD
Behavior Analyst 103K00000X 1-14-16058 NJ Primary

Addresses

Primary practice location

7 Church LN Ste 26
Baltimore, MD 21208-3710

Mailing address

7 Church LN Ste 26
Baltimore, MD 21208-3710

Other practice location 1

3575 Quakerbridge Rd
Hamilton, NJ 08619-1271
Phone (844) 854-2583

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)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
LBA247MDMDBehavioral Analyst

NPI Registry JSON

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

{
    "created_epoch": "1474329600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1725580800000",
    "number": "1447708391",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7 CHURCH LN STE 26",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212083710"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7 CHURCH LN STE 26",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212083710",
            "telephone_number": "410-424-7000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3575 Quakerbridge Rd",
            "address_purpose": "LOCATION",
            "city": "Hamilton",
            "state": "NJ",
            "postal_code": "086191271",
            "country_code": "US",
            "telephone_number": "844-854-2583",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NEWMARK",
        "first_name": "MIRIAM",
        "credential": "MS ED, BCBA, LBA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-09-20",
        "last_updated": "2024-09-06",
        "certification_date": "2024-09-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "MD",
            "license": "LBA247",
            "primary": false
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "NJ",
            "license": "1-14-16058",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Baltimore, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 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.

Verify at the official NPI Registry.