Active NPI
Jillian Ebner, RBT
- Behavior Technician
- Havre de Grace, MD
National Provider Identifier
1477149227
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Technician
- License
- RBT-20-148095
- Practice address
- 1106 Revolution St
Havre de Grace, MD 21078-3721 - Phone
- (410) 776-4640
- Fax
- (410) 734-6460
- NPI assigned
- Dec 16, 2020
- Last updated
- Dec 16, 2020
- Sex
- Female
- 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 | RBT-20-148095 | NU | Primary |
Addresses
Primary practice location
1106 Revolution St
Havre de Grace, MD 21078-3721
Mailing address
3030 Grafton LN
Churchville, MD 21028-1723
Phone (410) 776-4640
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Personalized Alternatives for Learning | Current | Accepting new patients |
Locations
1106 Revolution St
Hvre de Grace, MD 21078
Phone (410) 776-4640
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Behavior Analyst
- Havre de Grace, MD
- NPI 1861994287
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1608076800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1608076800000",
"number": "1477149227",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3030 GRAFTON LN",
"city": "CHURCHVILLE",
"state": "MD",
"postal_code": "210281723",
"telephone_number": "410-776-4640",
"fax_number": "410-734-6460"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1106 REVOLUTION ST",
"city": "HAVRE DE GRACE",
"state": "MD",
"postal_code": "210783721",
"telephone_number": "410-776-4640",
"fax_number": "410-734-6460"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EBNER",
"first_name": "JILLIAN",
"credential": "RBT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-12-16",
"last_updated": "2020-12-16",
"certification_date": "2020-12-16",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": "NU",
"license": "RBT-20-148095",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Havre de Grace, MD
- Dresnick Sterling Emergency Physicians of Maryland PA
- DRS Biondo & Sim PA (Union Medical Clinic PA)
- DRS Campanella & Olivacz PA (Havre de Grace Chiropractic)
- Julie L. Ducharme, MD
- Jeanne Marie Dunworth, LCPC
- Bethany Edwards, RBT
- Rowan Elrais
- Empowered Wellness Coaching
- Endeavour Healthcare LLC
- Ernest Gorleski a Professional Medical Corporation
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.