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General NPI Number Information
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NPI Number | 1538055082
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Entity Type | Organization
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Legal Business Name | GOLD STANDARD ABA MD LLC
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Dates
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Enumeration Date | 06/12/2025
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Last Update Date | 09/19/2025
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Provider Practice Location Address
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Address Line | 822 GUILFORD AVE STE 1457
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City | BALTIMORE
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State | MD
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Zip | 21202-3707
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Country | US
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Telephone | 713-837-7655
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Fax |
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Provider Business Mailing Address
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Address Line | 2405 YORK RD STE 201
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City | LUTHERVILLE
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State | MD
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Zip | 21093-2252
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | CREDENTIALING MANAGER
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Name | BRITTANY MARSHALL
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Credential |
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Telephone | 713-837-7655
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103K00000X
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Taxonomy Name | Behavior Analyst
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License Number |
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License Number State |
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