NPIMap

Organization Active NPI

Koala Way ABA LLC

  • Behavior Analyst
  • Baltimore, MD
National Provider Identifier
1629923982
Registry record updated Mar 2, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
Legal business name
KOALA WAY ABA LLC
Practice address
1915 Hillenwood Rd
Baltimore, MD 21239-3620
Phone
(443) 671-7733
NPI assigned
Mar 2, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 2, 2026

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

Authorized official

Name
Ms. Candice Jones, BCBA, LBANPI 1538680392
Title
Managing Member
Phone
(443) 671-7733

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

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

Addresses

Primary practice location

1915 Hillenwood Rd
Baltimore, MD 21239-3620

Mailing address

1915 Hillenwood Rd
Baltimore, MD 21239-3620
Phone (443) 671-7733

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1772409600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1772409600000",
    "number": "1629923982",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1915 HILLENWOOD RD",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212393620",
            "telephone_number": "443-671-7733"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1915 HILLENWOOD RD",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212393620",
            "telephone_number": "443-671-7733"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KOALA WAY ABA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-03-02",
        "last_updated": "2026-03-02",
        "certification_date": "2026-03-02",
        "status": "A",
        "authorized_official_last_name": "JONES",
        "authorized_official_first_name": "CANDICE",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "443-671-7733",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "BCBA, LBA"
    },
    "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 Mar 2, 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.