Stephen Peach
Behavior Analyst in Frederick, MD. Individual provider (NPI-1).
NPI number1851709232
StatusActive
Last updated in NPPESAug 11, 2022
Details
- NPI
- 1851709232
- Entity type
- Individual (NPI-1)
- Name
- Stephen Peach
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Jul 29, 2014
- Certification date
- Apr 8, 2021
- Last updated
- Aug 11, 2022
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 code | Description | License | State | Primary |
|---|---|---|---|---|
| 103K00000X | Behavior Analyst | – | – | Yes |
Practice location
10726 Liberty RdFrederick, MD 21701-2630
Phone 304-582-2802
Mailing address
9923 Kelly RdWalkersville, MD 21793-7315
Phone 304-582-2802
Other practice locations
1125 Opal Ct Ste 1004
Hagerstown, MD 21740-5934
Hagerstown, MD 21740-5934
Phone 301-703-9923
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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