Active NPI
Danielle Elizabeth Fogleman
- Behavior Analyst
- Silver Spring, MD
National Provider Identifier
1962077172
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- License
- 1-20-42441
- Practice address
- 11921 Bournefield Way Ste a
Silver Spring, MD 20904-7815 - Phone
- (301) 221-3757
- NPI assigned
- May 21, 2021
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | 1-20-42441 | MD | Primary |
Addresses
Primary practice location
11921 Bournefield Way Ste a
Silver Spring, MD 20904-7815
Mailing address
9 Banks Ave
McAdoo, PA 18237-2508
Phone (570) 802-3099
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1621555200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1621555200000",
"number": "1962077172",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9 BANKS AVE",
"city": "MCADOO",
"state": "PA",
"postal_code": "182372508",
"telephone_number": "570-802-3099"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11921 BOURNEFIELD WAY STE A",
"city": "SILVER SPRING",
"state": "MD",
"postal_code": "209047815",
"telephone_number": "301-221-3757"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FOGLEMAN",
"first_name": "DANIELLE",
"middle_name": "ELIZABETH",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-05-21",
"last_updated": "2021-05-21",
"certification_date": "2021-05-21",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "MD",
"license": "1-20-42441",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Silver Spring, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.