NPIMap

Organization Active NPI

Mindful Behavior, LLC

  • Behavior Analyst
  • Baltimore, MD
National Provider Identifier
1992497440
Registry record updated Jan 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
Legal business name
MINDFUL BEHAVIOR, LLC
Practice address
7929 Eastern Ave # 1053
Baltimore, MD 21224-2141
Phone
(888) 588-3892
NPI assigned
May 23, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 22, 2024

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

Authorized official

Name
Jenilee Stepp Triebert, M.ED., BCBA, LBANPI 1730449943
Title
Owner
Phone
(859) 779-1603

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior AnalystGroup: 193400000X SINGLE SPECIALTY GROUP 103K00000X Primary

Addresses

Primary practice location

7929 Eastern Ave # 1053
Baltimore, MD 21224-2141

Mailing address

5016 Bob White Dr
Richmond, KY 40475-8010
Phone (859) 779-1603

National Provider Directory

National Provider Directory

Locations

7929 Eastern Ave
#1053
Baltimore, MD 21224
Phone (888) 588-3892

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1684800000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1705881600000",
    "number": "1992497440",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5016 BOB WHITE DR",
            "city": "RICHMOND",
            "state": "KY",
            "postal_code": "404758010",
            "telephone_number": "859-779-1603"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7929 EASTERN AVE # 1053",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212242141",
            "telephone_number": "888-588-3892"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MINDFUL BEHAVIOR, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-05-23",
        "last_updated": "2024-01-22",
        "certification_date": "2024-01-22",
        "status": "A",
        "authorized_official_last_name": "STEPP TRIEBERT",
        "authorized_official_first_name": "JENILEE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "859-779-1603",
        "authorized_official_credential": "M.ED., BCBA, LBA"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "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 Jan 22, 2024; 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.