NPIMap

Organization Active NPI

Advancing Beyond the Spectrum LLC

  • Behavior Analyst
  • Baltimore, MD
National Provider Identifier
1801284484
Registry record updated Dec 27, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
Legal business name
ADVANCING BEYOND THE SPECTRUM LLC
Practice address
3717 Boston St Ste 148
Baltimore, MD 21224-5752
Phone
(443) 800-4985
NPI assigned
Jan 5, 2015
Last updated
Dec 27, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 27, 2016

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

Authorized official

Name
Ms. Kimberly M Courrau, M.S., BCBANPI 1134414337
Title
Executive Director
Phone
(305) 790-8638

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Analyst 103K00000X NU Primary

Addresses

Primary practice location

3717 Boston St Ste 148
Baltimore, MD 21224-5752

Mailing address

3717 Boston St Ste 148
Baltimore, MD 21224-5752

National Provider Directory

National Provider Directory
Tax ID family
Advancing Beyond the Spectrum LLC3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Locations

6505 Ridenour Way E
Ste 1A
Eldersburg, MD 21784
Phone (443) 300-6326

Practitioners & affiliated clinicians

Practitioners 11

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1420416000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1482796800000",
    "number": "1801284484",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3717 BOSTON ST STE 148",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212245752"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3717 BOSTON ST STE 148",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212245752",
            "telephone_number": "443-800-4985"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCING BEYOND THE SPECTRUM LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-01-05",
        "last_updated": "2016-12-27",
        "status": "A",
        "authorized_official_last_name": "COURRAU",
        "authorized_official_first_name": "KIMBERLY",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "305-790-8638",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "M.S., BCBA"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Baltimore, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 27, 2016; 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.