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TIDAL CONSULTING & THERAPY NPI 1063175883


NPI Information

NPI: 1063175883
Provider Name: TIDAL CONSULTING & THERAPY
Classification: Behavior Analyst - 103K00000X
Entity Type: Organization
Address:
2636 N SALISBURY BLVD STE 1005
SALISBURY, MD
ZIP 21801
Phone: (410) 924-4897
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TIDAL CONSULTING & THERAPY is a behavior analyst in Salisbury, MD. The provider is a behavior analyst is qualified by at least a master's degree and Behavior Analyst Certification Board certification and/or a state-issued credential (such as a license) to practice behavior analysis independently. Behavior analysts provide the required supervision to assistant behavior analysts and behavior technicians. A behavior analyst delivers services consistent with the dimensions of applied behavior analysis. Common services may include, but are not limited to, conducting behavioral assessments, analyzing data, writing and revising behavior-analytic treatment plans, training others to implement components of treatment plans, and overseeing implementation of treatment plans. TIDAL CONSULTING & THERAPY NPI is 1063175883. The provider is registered as an organization entity type.

The provider's business location address is:

2636 N SALISBURY BLVD STE 1005
SALISBURY, MD
ZIP 21801-141
Phone: (410) 924-4897

The provider's authorized official is Kristen Joy Ellis .
The authorized official title is Owner and has the following contact phone number (410) 924-4897.

The enumeration date for this NPI number is 10/19/2021 and was last updated on 10/19/2021.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1251B00000XCase ManagementNo
2251E00000XHome HealthNo
3251S00000XCommunity/Behavioral HealthNo
4252Y00000XEarly Intervention Provider AgencyNo
5253Z00000XIn Home Supportive CareNo
6103K00000XBehavior AnalystYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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