Healthcare Provider Details
I. General information
NPI: 1245861756
Provider Name (Legal Business Name): HALEY LAMBERT
Entity Type: Individual
Gender: Female
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 02/03/2020
Last Update Date: 06/05/2026
Certification Date: 06/05/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
5525 EASTERN AVE STE 109
BALTIMORE MD
21224-2796
US
IV. Provider business mailing address
5525 EASTERN AVE STE 109
BALTIMORE MD
21224-2796
US
V. Phone/Fax
- Phone: 240-502-3024
- Fax:
- Phone: 240-502-3024
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 106S00000X |
| Taxonomy | Behavior Technician |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 103K00000X |
| Taxonomy | Behavior Analyst |
| License Number | 1-24-76210 |
| License Number State | MD |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: