Active NPI
Ivanna Antezana
- Behavior Analyst
- Beltsville, MD
National Provider Identifier
1982257903
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- Practice address
- 11720 Beltsville Dr # 500A15
Beltsville, MD 20705-3166 - Phone
- (240) 226-2834
- Fax
- (301) 889-9735
- NPI assigned
- Jul 18, 2019
- 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 | MD | Primary |
Addresses
Primary practice location
11720 Beltsville Dr # 500A15
Beltsville, MD 20705-3166
Mailing address
11720 Beltsville Dr # 500A15
Beltsville, MD 20705-3166
Phone (240) 226-2834
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Csaac, Inc. | Past | 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 and National Provider Directory roles.
-
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
- Montgomery Village, MD
- NPI 1225137912
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1563408000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1771286400000",
"number": "1982257903",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11720 BELTSVILLE DR # 500A15",
"city": "BELTSVILLE",
"state": "MD",
"postal_code": "207053166",
"telephone_number": "240-226-2834",
"fax_number": "301-889-9735"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11720 BELTSVILLE DR # 500A15",
"city": "BELTSVILLE",
"state": "MD",
"postal_code": "207053166",
"telephone_number": "240-226-2834",
"fax_number": "301-889-9735"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ANTEZANA",
"first_name": "IVANNA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-07-18",
"last_updated": "2026-02-17",
"certification_date": "2026-02-17",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "MD",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}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 Feb 17, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.