Active NPI
Deborah Lynn Borden Karasack, BCBA
- Behavior Analyst
- Ellicott City, MD
National Provider Identifier
1639544703
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- License
- 103K00000X
- Practice address
- 6031 University Blvd
Ste. 300
Ellicott City, MD 21043-6097 - Phone
- (888) 344-5977
- NPI assigned
- Dec 1, 2015
- Sex
- Female
- Sole proprietor
- Yes
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 | 103K00000X | MD | Primary |
Addresses
Primary practice location
6031 University Blvd
Ste. 300
Ellicott City, MD 21043-6097
Mailing address
6031 University Blvd
Ste. 300
Ellicott City, MD 21043-6097
Phone (888) 344-5977
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 |
|---|---|---|---|
| 103K00000X | MD | MD | Behavioral Analyst |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1448928000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1448928000000",
"number": "1639544703",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6031 UNIVERSITY BLVD",
"address_2": "STE. 300",
"city": "ELLICOTT CITY",
"state": "MD",
"postal_code": "210436097",
"telephone_number": "888-344-5977"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6031 UNIVERSITY BLVD",
"address_2": "STE. 300",
"city": "ELLICOTT CITY",
"state": "MD",
"postal_code": "210436097",
"telephone_number": "888-344-5977"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BORDEN KARASACK",
"first_name": "DEBORAH",
"middle_name": "LYNN",
"credential": "BCBA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2015-12-01",
"last_updated": "2015-12-01",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "MD",
"license": "103K00000X",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Ellicott City, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.