Organization Active NPI

My Social Space Inc

  • Behavior Analyst
  • Baltimore, MD
National Provider Identifier
1508781121
Registry record updated Aug 12, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
Legal business name
MY SOCIAL SPACE INC
Practice address
1012 N Durham St
Baltimore, MD 21205-1468
Phone
(410) 504-7784
NPI assigned
Aug 12, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 12, 2026

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

Authorized official

Name
Deandre Pierre Johnson
Title
Ceo
Phone
(410) 504-7784

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior AnalystGroup: 193200000X MULTI-SPECIALTY GROUP 103K00000X Primary

Addresses

Primary practice location

1012 N Durham St
Baltimore, MD 21205-1468

Mailing address

1012 N Durham St
Baltimore, MD 21205-1468
Phone (410) 504-7784

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1786492800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1786492800000",
    "number": "1508781121",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1012 N DURHAM ST",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212051468",
            "telephone_number": "410-504-7784"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1012 N DURHAM ST",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212051468",
            "telephone_number": "410-504-7784"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MY SOCIAL SPACE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-08-12",
        "last_updated": "2026-08-12",
        "certification_date": "2026-08-12",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "DEANDRE",
        "authorized_official_middle_name": "PIERRE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "410-504-7784"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "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 Aug 12, 2026; 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.