NPIMap

Organization Active NPI

Actify ABA Therapy MD, LLC

  • Behavior Analyst
  • Baltimore, MD
National Provider Identifier
1922824770
Registry record updated Sep 26, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
Legal business name
ACTIFY ABA THERAPY MD, LLC
Practice address
6340 Security Blvd Ste 100-1227
Baltimore, MD 21207-5173
Phone
(410) 929-0988
Fax
(410) 204-1915
NPI assigned
Nov 26, 2024
Last updated
Sep 26, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 26, 2025

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

Authorized official

Name
Yisroel Goldberg
Title
Director
Phone
(410) 929-0988

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Analyst 103K00000X Primary
Assistant Behavior Analyst 106E00000X
Behavior Technician 106S00000X

Addresses

Primary practice location

6340 Security Blvd Ste 100-1227
Baltimore, MD 21207-5173

Mailing address

6340 Security Blvd Ste 100-1227
Baltimore, MD 21207-5173
Phone (410) 929-0988

National Provider Directory

National Provider Directory

Locations

6340 Security Blvd
Ste 1001227
Baltimore, MD 21207
Phone (410) 929-0988

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": "1732579200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1758844800000",
    "number": "1922824770",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6340 SECURITY BLVD STE 100-1227",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212075173",
            "telephone_number": "410-929-0988",
            "fax_number": "410-204-1915"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6340 SECURITY BLVD STE 100-1227",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212075173",
            "telephone_number": "410-929-0988",
            "fax_number": "410-204-1915"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ACTIFY ABA THERAPY MD, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-11-26",
        "last_updated": "2025-09-26",
        "certification_date": "2025-09-26",
        "status": "A",
        "authorized_official_last_name": "GOLDBERG",
        "authorized_official_first_name": "YISROEL",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "410-929-0988"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "106E00000X",
            "taxonomy_group": "",
            "desc": "Assistant Behavior Analyst",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "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 Sep 26, 2025; 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.