Healthcare Provider Details

I. General information

NPI: 1922931781
Provider Name (Legal Business Name): INCLUSION PARTNERS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/03/2026
Last Update Date: 06/03/2026
Certification Date: 05/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3425 CLIFTON AVE
BALTIMORE MD
21216-2502
US

IV. Provider business mailing address

3425 CLIFTON AVE
BALTIMORE MD
21216-2502
US

V. Phone/Fax

Practice location:
  • Phone: 410-908-1638
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number
License Number State

VIII. Authorized Official

Name: GLENICE SHABAZZ
Title or Position: CEO
Credential:
Phone: 410-908-1638