Active NPI
Rachel Carolyn Souza, M.A., BCBA
- Behavior Analyst
- Elkridge, MD
National Provider Identifier
1689998973
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- License
- 1-09-6673
- Practice address
- 8122 Forever Green CT
Elkridge, MD 21075-6477 - Phone
- (410) 804-4811
- NPI assigned
- Mar 16, 2010
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | LBA056 | MD | |
| Behavior Analyst | 103K00000X | 1-09-6673 | FL | Primary |
Addresses
Primary practice location
8122 Forever Green CT
Elkridge, MD 21075-6477
Mailing address
8122 Forever Green CT
Elkridge, MD 21075-6477
Phone (410) 804-4811
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
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LBA056 | MD | MD | Behavioral Analyst |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Compassionate Care ABA, LLC | Past | Accepting new patients |
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.
-
- Community/Behavioral Health Agency
- Elkridge, MD
- NPI 1033076112
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1268697600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1707350400000",
"number": "1689998973",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8122 FOREVER GREEN CT",
"city": "ELKRIDGE",
"state": "MD",
"postal_code": "210756477",
"telephone_number": "410-804-4811"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8122 FOREVER GREEN CT",
"city": "ELKRIDGE",
"state": "MD",
"postal_code": "210756477",
"telephone_number": "410-804-4811"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SOUZA",
"first_name": "RACHEL",
"middle_name": "CAROLYN",
"name_prefix": "Mrs.",
"credential": "M.A., BCBA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2010-03-16",
"last_updated": "2024-02-08",
"certification_date": "2024-02-08",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "MD",
"license": "LBA056",
"primary": false
},
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "FL",
"license": "1-09-6673",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Elkridge, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.