Individual provider Active NPI

Isabel Cristina Furches, MASTER IN SPECIAL ED

  • Behavior Analyst
  • Havre de Grace, MD
National Provider Identifier
1760904627
Registry record updated Aug 6, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
LBA-1065 Issued in MD
Practice address
1106 Revolution St
Havre de Grace, MD 21078-3721
Phone
(410) 776-4640
NPI assigned
Jul 12, 2017
Last updated
Aug 6, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 6, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Analyst 103K00000X LBA-1065 MD Primary
Behavior Technician 106S00000X NU

Addresses

Primary practice location

1106 Revolution St
Havre de Grace, MD 21078-3721

Mailing address

4533 Harford Creamery Rd
White Hall, MD 21161-9641
Phone (443) 876-7658

Other practice location 1

7175 Columbia Gateway Dr
Columbia, MD 21046-2534
Phone (888) 344-5977

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
LBA-1065MDMDBehavioral Analyst

Practice roles

OrganizationSpecialtyStatusNew patients
Personalized Alternatives for Learning Behavior Analyst CurrentSince Nov 5, 2023 Accepting new patients

Locations

1106 Revolution St
Hvre de Grace, MD 21078
Phone (410) 776-4640

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1499817600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1628208000000",
    "number": "1760904627",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4533 HARFORD CREAMERY RD",
            "city": "WHITE HALL",
            "state": "MD",
            "postal_code": "211619641",
            "telephone_number": "443-876-7658"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1106 REVOLUTION ST",
            "city": "HAVRE DE GRACE",
            "state": "MD",
            "postal_code": "210783721",
            "telephone_number": "410-776-4640"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7175 Columbia Gateway Dr",
            "address_purpose": "LOCATION",
            "city": "Columbia",
            "state": "MD",
            "postal_code": "210462534",
            "country_code": "US",
            "telephone_number": "888-344-5977",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FURCHES",
        "first_name": "ISABEL",
        "middle_name": "CRISTINA",
        "name_prefix": "Mrs.",
        "credential": "MASTER IN SPECIAL ED",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-07-12",
        "last_updated": "2021-08-06",
        "certification_date": "2021-08-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "MD",
            "license": "LBA-1065",
            "primary": true
        },
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Havre de Grace, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2021; 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.