Magnolia Autism Group, LLC

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

Legal business name

MAGNOLIA AUTISM GROUP, LLC

Practice address

822 Guilford Ave # 1555
Baltimore, MD 21202-3707

Phone

(510) 457-1492

NPI assigned

Feb 26, 2024

Last updated

Apr 8, 2026By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Qingqing Mao

Title

Cto

Phone

(415) 805-1725

Specialties & licenses 2

Addresses

Locations

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

{
    "created_epoch": "1708905600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1775606400000",
    "number": "1811753874",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "440 N BARRANCA AVE # 9605",
            "city": "COVINA",
            "state": "CA",
            "postal_code": "917231722"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "822 GUILFORD AVE # 1555",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212023707",
            "telephone_number": "510-457-1492"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2000 Crawford St Ste 861",
            "address_purpose": "LOCATION",
            "city": "Houston",
            "state": "TX",
            "postal_code": "770022244",
            "country_code": "US",
            "telephone_number": "281-220-6388",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1747 Olentangy River Rd",
            "address_2": "1272",
            "address_purpose": "LOCATION",
            "city": "Charleston",
            "state": "OH",
            "postal_code": "294077551",
            "country_code": "US",
            "telephone_number": "510-457-1492",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "MAGNOLIA AUTISM GROUP, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-02-26",
        "last_updated": "2026-04-08",
        "certification_date": "2026-04-08",
        "status": "A",
        "authorized_official_last_name": "MAO",
        "authorized_official_first_name": "QINGQING",
        "authorized_official_title_or_position": "CTO",
        "authorized_official_telephone_number": "415-805-1725"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Aimee Magnarelli, DO
• Colette Magne
• Joseph Magness, PHD
• Magnify Health LLC
• Crystal Magno, M.D.
• Magnolia Behavior Health Center LLC
• Magnolia Behavior Health Center LLC
• Magnolia Behavior Health Center LLC
• Magnolia Behavior Health Center LLC
• Thomas Magnuson, M.D.

• Behavior Analyst in Baltimore, MD
• Providers in Baltimore, MD by specialty
• Behavior Analyst in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 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.