Healthcare Provider Details

I. General information

NPI: 1023948205
Provider Name (Legal Business Name): ABA GRATEFUL CARE MD
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/20/2026
Last Update Date: 05/20/2026
Certification Date: 05/20/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9505 REISTERSTOWN RD STE 2NW
OWINGS MILLS MD
21117-4451
US

IV. Provider business mailing address

10770 COLUMBIA PIKE SUITE 300 #1269
SILVER SPRING MD
20901
US

V. Phone/Fax

Practice location:
  • Phone: 317-572-5315
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code106S00000X
TaxonomyBehavior Technician
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number
License Number State

VIII. Authorized Official

Name: REUVEN LEVOVITZ
Title or Position: CEO
Credential:
Phone: 317-572-5315