Active NPI
Kelly McCloskey
- Behavior Analyst
- Perry Hall, MD
National Provider Identifier
1922673169
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- License
- 1-21-49912
- Practice address
- 9096 Rexis Ave
Perry Hall, MD 21128-9021 - Phone
- (443) 453-2031
- Fax
- (443) 216-7397
- NPI assigned
- May 20, 2021
- Last updated
- Oct 26, 2022
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | RBT-17-34627 | MD | |
| Behavior Analyst | 103K00000X | 1-21-49912 | MD | Primary |
Addresses
Primary practice location
9096 Rexis Ave
Perry Hall, MD 21128-9021
Mailing address
308 Folcroft St
Baltimore, MD 21224-2801
Phone (443) 453-2031
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RBT-17-34627 | MD | MD | Behavior Technician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Advancing Abilities, LLC | Current | 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Community/Behavioral Health Agency
- Perry Hall, MD
- NPI 1336588649
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1621468800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1666742400000",
"number": "1922673169",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "308 FOLCROFT ST",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "212242801",
"telephone_number": "443-453-2031",
"fax_number": "443-216-7397"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9096 REXIS AVE",
"city": "PERRY HALL",
"state": "MD",
"postal_code": "211289021",
"telephone_number": "443-453-2031",
"fax_number": "443-216-7397"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCCLOSKEY",
"first_name": "KELLY",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-05-20",
"last_updated": "2022-10-26",
"certification_date": "2022-10-26",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": "MD",
"license": "RBT-17-34627",
"primary": false
},
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "MD",
"license": "1-21-49912",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Perry Hall, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.