Healthcare Provider Details

I. General information

NPI: 1427512508
Provider Name (Legal Business Name): ALLIUM BEHAVIORAL SERVICES, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/23/2019
Last Update Date: 08/17/2026
Certification Date: 08/17/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9411 PHILADELPHIA RD STE H-K
ROSEDALE MD
21237-4168
US

IV. Provider business mailing address

1400 BROADWAY RD
LUTHERVILLE MD
21093-1503
US

V. Phone/Fax

Practice location:
  • Phone: 410-343-9469
  • Fax:
Mailing address:
  • Phone: 410-343-9469
  • 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: MS. EMILY PREVAS
Title or Position: BOARD CERTIFIED BEHAVIOR ANALYST
Credential: BCBA
Phone: 410-343-9469