Provider Demographics
NPI:1710621859
Name:HARBOR BAY LEARNING, LLC
Entity Type:Organization
Organization Name:HARBOR BAY LEARNING, LLC
Other - Org Name:HBL
Other - Org Type:Doing Business As
Authorized Official - Title/Position:BEHAVIOR ANALYST, FOUNDER
Authorized Official - Prefix:
Authorized Official - First Name:SHEILA
Authorized Official - Middle Name:
Authorized Official - Last Name:CORNELIUS
Authorized Official - Suffix:
Authorized Official - Credentials:BCBA, LBA
Authorized Official - Phone:317-361-9966
Mailing Address - Street 1:2725 MAPLE AVE
Mailing Address - Street 2:
Mailing Address - City:PARKVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:21234-5610
Mailing Address - Country:US
Mailing Address - Phone:317-361-9966
Mailing Address - Fax:
Practice Address - Street 1:2725 MAPLE AVE
Practice Address - Street 2:
Practice Address - City:PARKVILLE
Practice Address - State:MD
Practice Address - Zip Code:21234-5610
Practice Address - Country:US
Practice Address - Phone:317-361-9966
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-04-25
Last Update Date:2023-08-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior AnalystGroup - Multi-Specialty
No106S00000XBehavioral Health & Social Service ProvidersBehavior TechnicianGroup - Multi-Specialty