Healthcare Provider Details

I. General information

NPI: 1811801640
Provider Name (Legal Business Name): SIERRA BEHAVIORAL THERAPY MARYLAND LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/29/2026
Last Update Date: 09/29/2026
Certification Date: 09/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

306 W REDWOOD ST STE 4808
BALTIMORE MD
21201-1708
US

IV. Provider business mailing address

3209 VILLAGE OAK DR
ARLINGTON TX
76017-2532
US

V. Phone/Fax

Practice location:
  • Phone: 786-306-9184
  • Fax:
Mailing address:
  • Phone: 786-306-9184
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number
License Number StateNULL

VIII. Authorized Official

Name: MARTHA SIERRA FERNANDEZ
Title or Position: CLINICAL DIRECTOR, CEO
Credential: BCBA, LBA
Phone: 786-306-9184