Organization
GOLD HEART ABA MD LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
YEHOUSHUA TYBERG (DIRECTOR)
(732) 813-5603
Entity
Organization
Contact information
Practice address
5700 SMITH AVE UNIT 101, BALTIMORE, MD 21209-3610
(732) 637-9359
(732) 719-5787
Mailing address
5700 SMITH AVE UNIT 101, BALTIMORE, MD 21209-3610
(732) 637-9359
(732) 719-5787
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
106S00000X
Behavior Technician
—
—
251S00000X
Community/Behavioral Health Agency
—
—
Other
Enumeration date
06/13/2025
Last updated
06/13/2025
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