MEDICARE: ELANA GOTTLIEB

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	106S00000X	Behavior Technician		MD

General Provider Information

NPI Number	:	1073358040
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ELANA GOTTLIEB

Provider Business Mailing Address
First Line	:	6601 DORSAN CT
Second Line	:
City	:	BALTIMORE
State	:	MD
Zip	:	21209-2617
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	6601 DORSAN CT
Second Line	:
City	:	BALTIMORE
State	:	MD
Zip	:	21209-2617
Country	:	US
Telephone Number	:	443-240-5757
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/01/2024
Last Update Date	:	07/01/2024

Similar Medicare Providers

1568311660 — WINDSOR MANOR
Practice Location Address:

3333 WINDSOR AVE
BALTIMORE, MD
21216-2617

Practice Phone: 443-449-5505
Practice Fax:

1023545795 — UNIVERSITY PSYCHOLOGICAL CENTER, INC
Practice Location Address:

2617-19 N. CALVERT STREET
BALTIMORE, MD
21218

Practice Phone: 410-576-9191
Practice Fax: 410-576-9257

1407960032 — STEVEN ALLEN BLACKWELL PH.D., J.D., R.PH.
Practice Location Address:

7500 SECURITY BLVD # C3-20-17 , CENTERS FOR MEDICARE & MEDICAID SERVICES
BALTIMORE, MD
21244-1849

Practice Phone: 410-786-6852
Practice Fax:

1396961561 — DR. MARSHA SMITH MD
Practice Location Address:

7500 SECURITY BOULEVARD , CENTERS FOR MEDICARE & MEDICAID SERVICES
BALTIMORE, MD
21201-2301

Practice Phone: 410-786-6614
Practice Fax:

1134335441 — JULIE DAWN PREIS
Practice Location Address:

7500 SECURITY BLVD MS C1-13-07 , CENTERS FOR MEDICARE & MEDICAID SERVICES
BALTIMORE, MD
21244

Practice Phone: 410-786-0525
Practice Fax:

1831058502 — JAELYN WARREN
Practice Location Address:

6801 SYLVALE CT
BALTIMORE, MD
21209-1622

Practice Phone: 301-671-1100
Practice Fax:

Directions to “ ELANA GOTTLIEB ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.