Healthcare Provider Details

I. General information

NPI: 1598660698
Provider Name (Legal Business Name): DAVID MICHAEL FROST BCBA
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/09/2026
Last Update Date: 10/09/2026
Certification Date: 10/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

890 AIRPORT ROAD SUITE 100
GLEN BURNIE MD
21061
US

IV. Provider business mailing address

119 CREST AVE
GLEN BURNIE MD
21061-2801
US

V. Phone/Fax

Practice location:
  • Phone: 866-805-7956
  • Fax:
Mailing address:
  • Phone: 443-766-9194
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: