Healthcare Provider Details

I. General information

NPI: 1396496840
Provider Name (Legal Business Name): MR. YOSEPH YITZCHOK ABERGEL
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/17/2022
Last Update Date: 10/01/2025
Certification Date: 10/01/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

500 REDLAND CT
OWINGS MILLS MD
21117-3264
US

IV. Provider business mailing address

3727 CLARINTH RD
BALTIMORE MD
21215-2403
US

V. Phone/Fax

Practice location:
  • Phone: 443-738-5110
  • Fax:
Mailing address:
  • Phone: 667-239-0324
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101Y00000X
TaxonomyCounselor
License Number
License Number StateMD
# 2
Primary TaxonomyY
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License NumberLBA2333
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: