Active NPI
Michelle L Britwum, BCBA, LBA
- Behavior Analyst
- Frederick, MD
National Provider Identifier
1629301023
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- License
- LBA1203
- Practice address
- 706 W Patrick St
Frederick, MD 21701-4030 - Phone
- (301) 882-7932
- Fax
- (301) 500-2173
- NPI assigned
- Sep 16, 2009
- 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 Analyst | 103K00000X | LBA1203 | MD | Primary |
Addresses
Primary practice location
706 W Patrick St
Frederick, MD 21701-4030
Mailing address
706 W Patrick St
Frederick, MD 21701-4030
Phone (301) 882-7932
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1-14-10293 | Other | PA | BEHAVIOR ANALYSIS CERTIFICATION BOARD (BACB) |
| LBA1203 | Other | MD | LICENSED BEHAVIOR ANALYST |
Other names 1
- Michelle L Snover
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
| License | State | Type | Specialty |
|---|---|---|---|
| LBA1203 | MD | MD | Behavioral Analyst |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1253059200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1644278400000",
"number": "1629301023",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "706 W PATRICK ST",
"city": "FREDERICK",
"state": "MD",
"postal_code": "217014030",
"telephone_number": "301-882-7932",
"fax_number": "301-500-2173"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "706 W PATRICK ST",
"city": "FREDERICK",
"state": "MD",
"postal_code": "217014030",
"telephone_number": "301-882-7932",
"fax_number": "301-500-2173"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BRITWUM",
"first_name": "MICHELLE",
"middle_name": "L",
"credential": "BCBA, LBA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-09-16",
"last_updated": "2022-02-08",
"certification_date": "2022-02-08",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "MD",
"license": "LBA1203",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BEHAVIOR ANALYSIS CERTIFICATION BOARD (BACB)",
"identifier": "1-14-10293",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENSED BEHAVIOR ANALYST",
"identifier": "LBA1203",
"state": "MD"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "MICHELLE",
"last_name": "SNOVER",
"middle_name": "L",
"credential": "BCBA, LBS",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Frederick, MD
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- Susan Barnett Brinkley, M.D.
- Kwadwo O Britwum
- David Bromberg, M.D.
- Gayle Bromberg, LCSW-C
- Jason Gabriel Bromer, M.D.
- Brook Lane Behavioral Services, Inc.
- Brook Lane Behavioral Services, Inc.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.