Maryland Autism Services, LLC

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

Legal business name

MARYLAND AUTISM SERVICES, LLC

Practice address

2925 Summer Hill Dr
West Friendship, MD 21794-9538

Phone

(202) 460-2693

NPI assigned

May 16, 2025

Organization subpart

No

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

Authorized official

Name

Megdelawit Eshetu Gebremedhin, BCBA, LBANPI 1801279872

Title

Owner

Phone

(202) 460-2693

Specialties & licenses 2

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Megdelawit Gebremedhin

  • Behavior Analyst
  • Severna Park, MD
  • NPI 1801279872
  NPD Authorized official

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

{
    "created_epoch": "1747353600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1748390400000",
    "number": "1528859535",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2925 SUMMER HILL DR",
            "city": "WEST FRIENDSHIP",
            "state": "MD",
            "postal_code": "217949538"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2925 SUMMER HILL DR",
            "city": "WEST FRIENDSHIP",
            "state": "MD",
            "postal_code": "217949538",
            "telephone_number": "202-460-2693"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARYLAND AUTISM SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-05-16",
        "last_updated": "2025-05-28",
        "certification_date": "2025-05-28",
        "status": "A",
        "authorized_official_last_name": "GEBREMEDHIN",
        "authorized_official_first_name": "MEGDELAWIT",
        "authorized_official_middle_name": "ESHETU",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "202-460-2693",
        "authorized_official_credential": "BCBA, LBA"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bloom Health LLC
• Afua A Bradley, RN
• Thomas J Fenlon, DDS
• Kathleen M. Green, P.T.
• Rizwan Lakhani, L. AC., M. AC.
• Clark Raymond Mollenhoff III, M.AC., L.AC.
• Sandra M. Nettina, C.R.N.P.
• Julia Ann Oriani, RD, PHD
• Prime Care House Calls PC
• Judith Roark, LCPC

• Behavior Analyst in West Friendship, MD
• Providers in West Friendship, MD by specialty
• Behavior Analyst in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 2025; 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.