Active NPI
Benita N Wade
- Behavior Technician
- Baltimore, MD
National Provider Identifier
1609730225
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Technician
- Practice address
- 6340 Security Blvd Ste 100-1227
Baltimore, MD 21207-5173 - Phone
- (410) 929-0988
- NPI assigned
- Dec 10, 2025
- 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 | Primary |
Addresses
Primary practice location
6340 Security Blvd Ste 100-1227
Baltimore, MD 21207-5173
Mailing address
6340 Security Blvd Ste 100-1227
Baltimore, MD 21207-5173
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 |
|---|---|---|---|
| Actify ABA Therapy MD, LLC | Behavior Technician | Current | Accepting new patients |
Locations
6340 Security Blvd
Ste 1001227
Baltimore, MD 21207
Phone (410) 929-0988
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 and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1765324800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1765324800000",
"number": "1609730225",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6340 SECURITY BLVD STE 100-1227",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "212075173"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6340 SECURITY BLVD STE 100-1227",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "212075173",
"telephone_number": "410-929-0988"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WADE",
"first_name": "BENITA",
"middle_name": "N",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2025-12-10",
"last_updated": "2025-12-10",
"certification_date": "2025-12-10",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"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 Dec 10, 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.