Individual provider Active NPI

Victoria E Landerkin

  • Behavior Technician
  • Lutherville, MD
National Provider Identifier
1700568003
Registry record updated Aug 4, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior TechnicianTaxonomy code 106S00000X
License
RBT-23-287791 Issued in MD
Practice address
1519 York Rd
Lutherville, MD 21093-5611
Phone
(484) 393-4107
Fax
(484) 231-8631
NPI assigned
Aug 4, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 4, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Technician 106S00000X RBT-23-287791 MD Primary

Addresses

Primary practice location

1519 York Rd
Lutherville, MD 21093-5611

Mailing address

640 Freedom Business Ctr Dr Ste 220
King of Prussia, PA 19406-1376
Phone (484) 393-4107

Other names 1

  • Tori E Landerkin Other name

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

LicenseStateTypeSpecialty
RBT-23-287791MDMDBehavior Technician

NPI Registry JSON

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

{
    "created_epoch": "1691107200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1691107200000",
    "number": "1700568003",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "640 FREEDOM BUSINESS CTR DR STE 220",
            "city": "KING OF PRUSSIA",
            "state": "PA",
            "postal_code": "194061376",
            "telephone_number": "484-393-4107",
            "fax_number": "484-231-8631"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1519 YORK RD",
            "city": "LUTHERVILLE",
            "state": "MD",
            "postal_code": "210935611",
            "telephone_number": "484-393-4107",
            "fax_number": "484-231-8631"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LANDERKIN",
        "first_name": "VICTORIA",
        "middle_name": "E",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-08-04",
        "last_updated": "2023-08-04",
        "certification_date": "2023-08-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "MD",
            "license": "RBT-23-287791",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TORI",
            "last_name": "LANDERKIN",
            "middle_name": "E",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Lutherville, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2023; 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.