Active NPI
Gabriella Phelps
- Behavior Technician
- Germantown, MD
National Provider Identifier
1740171990
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Technician
- Practice address
- 12410 Milestone Center Dr Ste 600
Germantown, MD 20876-7102 - Phone
- (410) 874-5215
- NPI assigned
- Jul 14, 2025
- Sex
- Unspecified or another gender identity
- Sole proprietor
- No
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
Specialties & licenses 1
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | Primary |
Addresses
NPPES NPI RegistryPrimary practice location
12410 Milestone Center Dr Ste 600
Germantown, MD 20876-7102
Mailing address
18104 Queen Anne Bridge Rd
Bowie, MD 20716-3401
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jul 14, 2025.
{
"created_epoch": "1752451200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1752451200000",
"number": "1740171990",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "18104 QUEEN ANNE BRIDGE RD",
"city": "BOWIE",
"state": "MD",
"postal_code": "207163401"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12410 MILESTONE CENTER DR STE 600",
"city": "GERMANTOWN",
"state": "MD",
"postal_code": "208767102",
"telephone_number": "410-874-5215"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PHELPS",
"first_name": "GABRIELLA",
"sole_proprietor": "NO",
"sex": "X",
"enumeration_date": "2025-07-14",
"last_updated": "2025-07-14",
"certification_date": "2025-07-14",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Germantown, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 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.