Heaven Glass
Individual provider Active NPI Behavior Technician · Pikesville, MD
NPI 1821679002 · NPPES record last updated Apr 19, 2021
Key facts
- NPI
- 1821679002
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Behavior Technician 106S00000X
- Practice address
- 115 Sudbrook LN Ste a
Pikesville, MD 21208-4184 - Phone
- (443) 353-9547
- NPI assigned
- Apr 19, 2021
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | Yes |
Addresses
Primary practice location
115 Sudbrook LN Ste a
Pikesville, MD 21208-4184
Mailing address
115 Sudbrook LN Ste a
Pikesville, MD 21208-4184
Phone (443) 353-9547
Other providers in Pikesville, MD
- Gilmo Residential Services
- Jerome Herman Ginsberg
- Amia Cedrice Givens
- Betty Gladstein
- Boyd B Glasgow
- Kaitlyn Glendenning
- Global Healthcare Services LLC
- Global Healthcare Services LLC
- Grace Gnamoa
- Elijah Godette
All providers in Pikesville, MD · Behavior Technician in Maryland
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 19, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.