Provider Demographics
NPI:1841750098
Name:LEARNING OUTSIDE THE LINES, LLC
Entity Type:Organization
Organization Name:LEARNING OUTSIDE THE LINES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO/BEHAVIOR ANALYST
Authorized Official - Prefix:
Authorized Official - First Name:JOSSELYN
Authorized Official - Middle Name:
Authorized Official - Last Name:ENSOR
Authorized Official - Suffix:
Authorized Official - Credentials:MS ED, BCBA, LBA
Authorized Official - Phone:443-203-9707
Mailing Address - Street 1:164 ALYMER CT
Mailing Address - Street 2:
Mailing Address - City:WESTMINSTER
Mailing Address - State:MD
Mailing Address - Zip Code:21157-6361
Mailing Address - Country:US
Mailing Address - Phone:443-203-9707
Mailing Address - Fax:877-940-2717
Practice Address - Street 1:164 ALYMER CT
Practice Address - Street 2:
Practice Address - City:WESTMINSTER
Practice Address - State:MD
Practice Address - Zip Code:21157-6361
Practice Address - Country:US
Practice Address - Phone:443-203-9707
Practice Address - Fax:877-940-2717
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-03-23
Last Update Date:2023-08-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior AnalystGroup - Multi-Specialty
No106E00000XBehavioral Health & Social Service ProvidersAssistant Behavior AnalystGroup - Multi-Specialty
No106S00000XBehavioral Health & Social Service ProvidersBehavior TechnicianGroup - Multi-Specialty
No224Z00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapy AssistantGroup - Multi-Specialty
No225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistGroup - Multi-Specialty
No2355S0801XSpeech, Language and Hearing Service ProvidersSpecialist/TechnologistSpeech-Language AssistantGroup - Multi-Specialty
No235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language PathologistGroup - Multi-Specialty