Individual provider Active NPI

Chinemerem Cynthia Nnaji

  • Behavior Technician
  • Greenbelt, MD
National Provider Identifier
1518629864
Registry record updated Oct 13, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior TechnicianTaxonomy code 106S00000X
License
RBT-21-187941 Issued in MD
Practice address
6305 Ivy LN Ste 610
Greenbelt, MD 20770-6363
Phone
(202) 790-8903
NPI assigned
Oct 13, 2021
Last updated
Oct 13, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 13, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Technician 106S00000X RBT-21-187941 MD Primary

Addresses

Primary practice location

6305 Ivy LN Ste 610
Greenbelt, MD 20770-6363

Mailing address

6305 Ivy LN Ste 610
Greenbelt, MD 20770-6363
Phone (202) 790-8903

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

State licenses

LicenseStateTypeSpecialty
RBT-21-187941MDMDBehavior Technician

Practice roles

OrganizationSpecialtyStatusNew patients
Children's Milestone Corp CurrentSince Oct 17, 2021 Accepting new patients

Locations

6305 Ivy Ln
Ste 610
Greenbelt, MD 20770
Phone (202) 644-2483

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.

NPI Registry JSON

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

{
    "created_epoch": "1634083200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1634083200000",
    "number": "1518629864",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6305 IVY LN STE 610",
            "city": "GREENBELT",
            "state": "MD",
            "postal_code": "207706363",
            "telephone_number": "202-790-8903"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6305 IVY LN STE 610",
            "city": "GREENBELT",
            "state": "MD",
            "postal_code": "207706363",
            "telephone_number": "202-790-8903"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NNAJI",
        "first_name": "CHINEMEREM",
        "middle_name": "CYNTHIA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-10-13",
        "last_updated": "2021-10-13",
        "certification_date": "2021-10-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "MD",
            "license": "RBT-21-187941",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenbelt, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 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.