Active NPI
Mikaela Feagan
- Behavior Technician
- Beltsville, MD
National Provider Identifier
1972303394
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Technician
- License
- 1083243208
- Practice address
- 11720 Beltsville Dr Ste A1511720
Beltsville, MD 20705-3166 - Phone
- (202) 981-8060
- Fax
- (301) 889-9735
- NPI assigned
- Mar 14, 2025
- 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 Technician | 106S00000X | 1083243208 | MD | Primary |
Addresses
Primary practice location
11720 Beltsville Dr Ste A1511720
Beltsville, MD 20705-3166
Mailing address
11720 Beltsville Dr Ste A1511720
Beltsville, MD 20705-3166
Phone (202) 981-8060
Other names 1
- Mikaela Feagen
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 |
|---|---|---|---|
| 1083243208 | MD | MD | Behavior Technician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1741910400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1741910400000",
"number": "1972303394",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11720 BELTSVILLE DR STE A1511720",
"city": "BELTSVILLE",
"state": "MD",
"postal_code": "207053166",
"telephone_number": "202-981-8060",
"fax_number": "301-889-9735"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11720 BELTSVILLE DR STE A1511720",
"city": "BELTSVILLE",
"state": "MD",
"postal_code": "207053166",
"telephone_number": "202-981-8060",
"fax_number": "301-889-9735"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FEAGAN",
"first_name": "MIKAELA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2025-03-14",
"last_updated": "2025-03-14",
"certification_date": "2025-03-14",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": "MD",
"license": "1083243208",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "MIKAELA",
"last_name": "FEAGEN",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Beltsville, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 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.