Provider Demographics
NPI:1093599375
Name:BEHAVIORALITY, LLC
Entity Type:Organization
Organization Name:BEHAVIORALITY, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JUSTINE
Authorized Official - Middle Name:
Authorized Official - Last Name:PEGGINS
Authorized Official - Suffix:
Authorized Official - Credentials:BEHAVIOR ANALYST
Authorized Official - Phone:301-741-3456
Mailing Address - Street 1:2314 ROCKWELL AVE
Mailing Address - Street 2:
Mailing Address - City:CATONSVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:21228-4751
Mailing Address - Country:US
Mailing Address - Phone:301-741-3456
Mailing Address - Fax:443-292-8061
Practice Address - Street 1:2314 ROCKWELL AVE
Practice Address - Street 2:
Practice Address - City:CATONSVILLE
Practice Address - State:MD
Practice Address - Zip Code:21228-4751
Practice Address - Country:US
Practice Address - Phone:301-741-3456
Practice Address - Fax:443-292-8061
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-08-21
Last Update Date:2023-10-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior AnalystGroup - Single Specialty