Eric Liddle, RBT

Individual provider Active NPI Behavior Technician · Sandy Spring, MD

NPI 1770196032 · NPPES record last updated Aug 26, 2020

Key facts

NPI
1770196032
Entity type
Individual (NPI type 1)
Primary specialty
Behavior Technician 106S00000X
Practice address
17810 Meeting House Rd Ste 100
Sandy Spring, MD 20860-1039
Phone
(240) 342-2666
NPI assigned
Aug 26, 2020
Sex
Male
Sole proprietor
No

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 and National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Practice roles

OrganizationSpecialtyStatusNew patients
Ally Behavior LLC Past
since Aug 30, 2020
Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Technician 106S00000X Yes

Addresses

Primary practice location

17810 Meeting House Rd Ste 100
Sandy Spring, MD 20860-1039

Mailing address

8570 Springfield Oaks Dr
Springfield, VA 22153-3543

Other providers in Sandy Spring, MD

All providers in Sandy Spring, MD · Behavior Technician in Maryland

Sources for this page

Verify at the official NPI Registry.