Individual provider Active NPI

Liya Awoke Genetu

  • Behavior Technician
  • Gaithersburg, MD
National Provider Identifier
1790614329
Registry record updated May 18, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior TechnicianTaxonomy code 106S00000X
Practice address
340 N Summit Ave Apt 202
Gaithersburg, MD 20877-3130
Phone
(301) 524-7583
NPI assigned
May 18, 2026
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 18, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Technician 106S00000X Primary

Addresses

Primary practice location

340 N Summit Ave Apt 202
Gaithersburg, MD 20877-3130

Mailing address

340 N Summit Ave Apt 202
Gaithersburg, MD 20877-3130
Phone (301) 524-7583

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": "1779062400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1779062400000",
    "number": "1790614329",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "340 N SUMMIT AVE APT 202",
            "city": "GAITHERSBURG",
            "state": "MD",
            "postal_code": "208773130",
            "telephone_number": "301-524-7583"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "340 N SUMMIT AVE APT 202",
            "city": "GAITHERSBURG",
            "state": "MD",
            "postal_code": "208773130",
            "telephone_number": "301-524-7583"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GENETU",
        "first_name": "LIYA",
        "middle_name": "AWOKE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-05-18",
        "last_updated": "2026-05-18",
        "certification_date": "2026-05-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gaithersburg, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 2026; 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.