Active NPI
Tobias Harris
- Behavior Technician
- Elkton, MD
National Provider Identifier
1720975972
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Technician
- Practice address
- 200 S Bridge St
Elkton, MD 21921-5915 - Phone
- (410) 505-0063
- NPI assigned
- Jun 20, 2025
- Sex
- Male
- 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 Technician | 106S00000X | Primary |
Addresses
Primary practice location
200 S Bridge St
Elkton, MD 21921-5915
Mailing address
4 Winterhaven Dr Apt 13
Newark, DE 19702-2346
Phone (512) 750-9376
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1750377600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1750377600000",
"number": "1720975972",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4 WINTERHAVEN DR APT 13",
"city": "NEWARK",
"state": "DE",
"postal_code": "197022346",
"telephone_number": "512-750-9376"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "200 S BRIDGE ST",
"city": "ELKTON",
"state": "MD",
"postal_code": "219215915",
"telephone_number": "410-505-0063"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HARRIS",
"first_name": "TOBIAS",
"name_prefix": "Mr.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2025-06-20",
"last_updated": "2025-06-20",
"certification_date": "2025-06-20",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Elkton, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.