MEDICARE: THRIVING TOGETHER ABA

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	103K00000X	Behavior Analyst

General Provider Information

NPI Number	:	1326993585
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	THRIVING TOGETHER ABA

Provider Business Mailing Address
First Line	:	3709 WOODBINE AVE
Second Line	:
City	:	GWYNN OAK
State	:	MD
Zip	:	21207-7144
Country	:	US
Telephone Number	:	443-977-2096
Fax Number	:

Provider Business Practice Location Address
First Line	:	3709 WOODBINE AVE
Second Line	:
City	:	GWYNN OAK
State	:	MD
Zip	:	21207-7144
Country	:	US
Telephone Number	:	443-977-2096
Fax Number	:

Authorized Official
Title or Position	:	CLINICAL DIRECTOR
Name	:	SHAMEIKA RAINES
Credential	:	BCBA, LBA
Telephone Number	:	443-977-2096

Provider Enumeration Date	:	03/03/2026
Last Update Date	:	03/03/2026

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