Healthcare Provider Details

I. General information

NPI: 1255200663
Provider Name (Legal Business Name): FLYING COLORS APPLIED BEHAVIOR ANALYSIS MD LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/03/2025
Last Update Date: 11/03/2025
Certification Date: 11/03/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1395 PICCARD DR STE 200-M5
ROCKVILLE MD
20850-4306
US

IV. Provider business mailing address

1395 PICCARD DR STE 200-M5
ROCKVILLE MD
20850-4306
US

V. Phone/Fax

Practice location:
  • Phone: 718-222-5999
  • 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: GITTY SPIRA
Title or Position: CEO
Credential:
Phone: 718-222-5999