NPI 1104758598 · live from the CMS NPI Registry
Ally Behavior LLC
Psychologist in Baltimore, MD. National Provider Identifier 1104758598, active.
NPI record
| NPI | 1104758598 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Psychologist 103T00000X |
| Practice location | 5020 Campbell Blvd Ste I, Baltimore, MD 21236 |
| Practice phone | 240-342-2666 |
| Mailing address | 1410 Spring Hill Rd Ste 305, Mc Lean, VA 22102 |
| Enumerated | June 1, 2026 |
| Last updated | June 1, 2026 |
| Authorized official | Jennifer Salach, Insurance And Revenue Cycle Analyst |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychologist, Cognitive & Behavioral | 103TB0200X | — |
| Psychologist, Clinical | 103TC0700X | — |
| Psychologist, Clinical Child & Adolescent | 103TC2200X | — |
| Psychologist primary | 103T00000X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.