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PEACOCK AUTISM
NPI 1275333569
Behavior Analyst in Rosedale, MD

Active since March 15, 2025
6818 FORDCREST RD, ROSEDALE, MD 21237(443) 636-6003(443) 684-2809 Get Directions Write a Review

NPPES record last updated: March 15, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Peacock Autism NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PEACOCK AUTISM (NPI 1275333569) is a healthcare organization registered as a behavior analyst in Rosedale, Maryland and active in the NPI registry since March 2025. The organization lists Poonam Nandal, Owner, as its authorized official.

NPPES Registry Identity

NPI1275333569
Entity TypeOrganization
Primary Taxonomy103K00000X
Legal Business NamePEACOCK AUTISM
Location Address6818 FORDCREST RDRosedale, MD 21237-2187
Mailing Address6818 Fordcrest RdRosedale, MD 21237-2187
Phone(443) 636-6003
Fax(443) 684-2809
Organization SubpartNo
Authorized OfficialPoonam NandalOwner · (302) 306-4395
Enumeration DateMarch 15, 2025
NPPES CertifiedMarch 15, 2025
✔ NPI 1275333569 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyBehavior AnalystBehavioral Health & Social Service Providers
Taxonomy Code103K00000X
Definition
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.
6818 FORDCREST RD, Rosedale, MD 21237
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Peacock Autism's NPI number?

The NPI number for Peacock Autism is 1275333569. It was assigned to this organization in the NPPES registry on March 15, 2025.

Where is Peacock Autism located?

Peacock Autism is located at 6818 Fordcrest Rd, Rosedale, MD 21237. The listed phone number is (443) 636-6003.

What is Peacock Autism's specialty?

The primary specialty registered for this NPI is Behavior Analyst with taxonomy code 103K00000X.

When was this NPI record last updated?

The NPPES record for Peacock Autism was last updated on March 15, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.