Healthcare Provider Details

I. General information

NPI: 1730020355
Provider Name (Legal Business Name): ISAIAH MATTHEW ALEXANDER RBT
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/06/2026
Last Update Date: 08/26/2026
Certification Date: 08/26/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

890 AIRPORT PARK RD STE 100
GLEN BURNIE MD
21061-2561
US

IV. Provider business mailing address

1500 DOUGLAS ROAD, STE 230 CORAL GABLES, FLORIDA 33134
CORAL GABLES MD
20705-3166
US

V. Phone/Fax

Practice location:
  • Phone: 240-226-2834
  • Fax: 301-889-9735
Mailing address:
  • Phone: 240-226-2834
  • Fax: 301-889-9735

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106S00000X
TaxonomyBehavior Technician
License Number
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: