Grace Toluwalope Ajisafe

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

License

BACB1364108 Issued in MD

Practice address

258 Najoles Rd
Millersville, MD 21108-2676

Phone

(855) 935-3691

NPI assigned

Oct 30, 2025

Last updated

Dec 2, 2025By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1761782400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1764633600000",
    "number": "1932078904",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7120 SAMUEL MORSE DR STE 150",
            "city": "COLUMBIA",
            "state": "MD",
            "postal_code": "210463420"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "258 NAJOLES RD",
            "city": "MILLERSVILLE",
            "state": "MD",
            "postal_code": "211082676",
            "telephone_number": "855-935-3691"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AJISAFE",
        "first_name": "GRACE",
        "middle_name": "TOLUWALOPE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-10-30",
        "last_updated": "2025-12-02",
        "certification_date": "2025-12-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "MD",
            "license": "BACB1364108",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Advanced Hyperbarics LLC
• Advanced Radiology P a
• Raza Afzal
• Ifeoma Obianuju Agemba, LPN
• Aging Grace LLC
• Gladys N Akanoh, CRNP-FAMILY
• Abdullah Mohammed Al Sayyab, DDS
• All Things New Solution LLC
• Amanda Allison-Pacheco, LCPC
• Americle Healthcare, Inc.

• Behavior Technician in Millersville, MD
• Providers in Millersville, MD by specialty
• Behavior Technician in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 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.