Imani Mayo

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

License

RBT-22-200225 Issued in MD

Practice address

23 Thomas Shilling CT
Upperco, MD 21155-9334

Phone

(410) 818-8942

NPI assigned

Feb 8, 2022

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• ABA Solutions, LLC

  • Behavior Analyst
  • Upperco, MD
  • NPI 1659886166
  NPD (past)

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

{
    "created_epoch": "1644278400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1644278400000",
    "number": "1760136865",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5 LEMON GROVE CT",
            "city": "COCKEYSVILLE",
            "state": "MD",
            "postal_code": "210304341",
            "telephone_number": "347-595-7708"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23 THOMAS SHILLING CT",
            "city": "UPPERCO",
            "state": "MD",
            "postal_code": "211559334",
            "telephone_number": "410-818-8942"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAYO",
        "first_name": "IMANI",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-02-08",
        "last_updated": "2022-02-08",
        "certification_date": "2022-02-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "MD",
            "license": "RBT-22-200225",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Hollyhall688@hotmail.com",
            "affiliation": "N",
            "address_1": "23 Thomas Shilling Ct",
            "city": "Upperco",
            "state": "MD",
            "country_code": "US",
            "postal_code": "211559334",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Zaid Khan
• Yusuf Tamba Lansana, RBT
• Karla Xiomara Lovato
• Victoria Lui
• Alex Elizabeth Lumb, MS, BCBA, LBA
• Alexandria McClusky
• Dylan Moran
• Northwest O.T. Associates, Inc.
• Pamela Denise Perry
• Arthur William Plummer

• All providers in Upperco, MD
• Behavior Technician in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2022; 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.