Organization · NPI-2

Actify Aba Therapy MD, LLC

Behavior Analyst · Baltimore, MD

NPI number1922824770
StatusActive
Last updated in NPPESSep 26, 2025

Details

NPI
1922824770
Entity type
Organization (NPI-2)
Legal business name
Actify Aba Therapy MD, LLC
Organization subpart
No
Enumeration date
Nov 26, 2024
Certification date
Sep 26, 2025
Last updated
Sep 26, 2025

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
103K00000X Behavior Analyst––Yes
106S00000X Behavior Technician––
106E00000X Assistant Behavior Analyst––

Practice location

6340 Security Blvd Ste 100-1227
Baltimore, MD 21207-5173

Phone 410-929-0988 · Fax 410-204-1915

Mailing address

6340 Security Blvd Ste 100-1227
Baltimore, MD 21207-5173

Phone 410-929-0988 · Fax 410-204-1915

Authorized official

Yisroel Goldberg
Director
4109290988

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