Healthcare Provider Details

I. General information

NPI: 1023934502
Provider Name (Legal Business Name): TERRAPIN ABA THERAPY LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/29/2026
Last Update Date: 06/29/2026
Certification Date: 06/28/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

18310 MONTGOMERY VILLAGE AVE
GAITHERSBURG MD
20879-3551
US

IV. Provider business mailing address

18310 MONTGOMERY VILLAGE AVE STE 300
GAITHERSBURG MD
20879-3552
US

V. Phone/Fax

Practice location:
  • Phone: 240-770-0605
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: MR. ASHER LAX
Title or Position: MEMBER
Credential:
Phone: 240-770-0605