Organization
ACTIFY ABA THERAPY MD, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
YISROEL GOLDBERG (DIRECTOR)
(410) 929-0988
Entity
Organization
Contact information
Practice address
6340 SECURITY BLVD STE 100-1227, BALTIMORE, MD 21207-5173
(410) 929-0988
(410) 204-1915
Mailing address
6340 SECURITY BLVD STE 100-1227, BALTIMORE, MD 21207-5173
(410) 929-0988
(410) 204-1915
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
106E00000X
Assistant Behavior Analyst
—
—
106S00000X
Behavior Technician
—
—
Other
Enumeration date
11/26/2024
Last updated
09/26/2025
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