Petagaye Simone Townsend, MS, BCBA, LBA

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

1-14-9454 Issued in NY

Practice address

8480 Baltimore National Pike Ste 3210 #126
Ellicott City, MD 21043

Phone

(914) 363-8313

NPI assigned

Jan 14, 2012

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

Practice roles

Locations

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.

• Awaken Licensed Applied Behavioral Analysis Services PLLC

  • Behavior Analyst
  • Ellicott City, MD
  • NPI 1174097547
  NPD Authorized official

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

{
    "created_epoch": "1326499200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1619740800000",
    "number": "1497026942",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8480 BALTIMORE NATIONAL PIKE STE 3210 #126",
            "city": "ELLICOTT CITY",
            "state": "MD",
            "postal_code": "210431420",
            "telephone_number": "914-363-8313"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8480 BALTIMORE NATIONAL PIKE STE 3210 #126",
            "city": "ELLICOTT CITY",
            "state": "MD",
            "postal_code": "21043",
            "telephone_number": "914-363-8313"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TOWNSEND",
        "first_name": "PETAGAYE",
        "middle_name": "SIMONE",
        "name_prefix": "Mrs.",
        "credential": "MS, BCBA, LBA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-01-14",
        "last_updated": "2021-04-30",
        "certification_date": "2021-04-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "222Q00000X",
            "taxonomy_group": "",
            "desc": "Developmental Therapist",
            "state": "NY",
            "license": "1125719",
            "primary": false
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "NY",
            "license": "1-14-9454",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Naomi Tomoyasu, PH.D.
• Matthew Joseph Torres, PHD
• Touching Angels Health Care
• Touching Angels Healthcare
• Kristin Grace Townsend, M.S., CCC-SLP
• Barbara Jung Toy
• Elizabeth Trainer
• Anita Trainor, RN-C
• Andrew Tran, M.D.
• Tuyet-Nhung Tran

• Behavior Analyst in Ellicott City, MD
• Providers in Ellicott City, MD by specialty
• Behavior Analyst in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2021; 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.