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Andre'A Chapman

Behavior Technician in Baltimore, MD. Individual provider (NPI-1).

NPI number1104779719
StatusActive
Last updated in NPPESFeb 16, 2026

Details

NPI
1104779719
Entity type
Individual (NPI-1)
Name
Andre'A Chapman
Sole proprietor
No
Enumeration date
Feb 16, 2026
Certification date
Feb 9, 2026
Last updated
Feb 16, 2026

Medicare and OIG

Medicare enrolled (PECOS)
Not in the Medicare enrollment file
Can order and refer
Not on the CMS order and referring list
OIG exclusion list
This NPI is not listed

CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
106S00000X Behavior Technician––Yes

Practice location

1517 Reisterstown Rd
Baltimore, MD 21208-4325

Phone 410-541-1316

Mailing address

1777 Reisterstown Rd Ste 165r
Baltimore, MD 21208-1387

Is something wrong?

This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

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