Healthcare Provider Details

I. General information

NPI: 1174490353
Provider Name (Legal Business Name): AUTISM ABA PARTNERS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/21/2025
Last Update Date: 03/01/2026
Certification Date: 03/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

849 FAIRMOUNT AVE STE 200T8
TOWSON MD
21286-2624
US

IV. Provider business mailing address

314 W LORRAINE AVE
BALTIMORE MD
21211-3114
US

V. Phone/Fax

Practice location:
  • Phone: 443-804-6999
  • Fax:
Mailing address:
  • Phone: 443-804-6999
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code251B00000X
TaxonomyCase Management Agency
License Number
License Number StateNULL
# 2
Primary TaxonomyN
Taxonomy Code261QM1300X
TaxonomyMulti-Specialty Clinic/Center
License Number
License Number StateNULL
# 3
Primary TaxonomyY
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number
License Number StateNULL
# 4
Primary TaxonomyN
Taxonomy Code106S00000X
TaxonomyBehavior Technician
License Number
License Number StateNULL

VIII. Authorized Official

Name: MARGARET MWANGI
Title or Position: DIRECTOR
Credential:
Phone: 443-804-6999