Active NPI
Mayen M Udoh, MS
- Behavior Analyst
- Washington, DC
National Provider Identifier
1801292560
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- Practice address
- 412 1St St SE
Lower Level Rear Entrance
Washington, DC 20003-1804 - Phone
- (202) 470-4185
- Fax
- (877) 350-8028
- NPI assigned
- Nov 7, 2014
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | Primary |
Addresses
Primary practice location
412 1St St SE
Lower Level Rear Entrance
Washington, DC 20003-1804
Mailing address
5606 Shields Dr
Bethesda, MD 20817-3571
Phone (301) 493-0023
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
- Credentials
- Master of Science
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| National Therapy Center | Behavior Analyst | Past | Accepting new patients |
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1415318400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1415318400000",
"number": "1801292560",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5606 SHIELDS DR",
"city": "BETHESDA",
"state": "MD",
"postal_code": "208173571",
"telephone_number": "301-493-0023",
"fax_number": "301-493-8230"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "412 1ST ST SE",
"address_2": "LOWER LEVEL REAR ENTRANCE",
"city": "WASHINGTON",
"state": "DC",
"postal_code": "200031804",
"telephone_number": "202-470-4185",
"fax_number": "877-350-8028"
}
],
"practiceLocations": [],
"basic": {
"last_name": "UDOH",
"first_name": "MAYEN",
"middle_name": "M",
"credential": "MS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-11-07",
"last_updated": "2014-11-07",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Washington, DC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.