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Suprisha Phillips

Behavior Analyst β€’ Potomac, MD

Active NPI 1710582358 Individual Practitioner Female Practitioner
Practice location in NPPES

12944 Travilah Rd Ste C
Potomac, MD 208541079

Call 7724630444 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

12944 Travilah Rd Ste C

Potomac, MD 208541079

Telephone 7724630444
Fax 7722191339
Organization at the Same NPPES Address or Phone
Behavior Basics, Incorporated Facility NPI 1497913214

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

NPI first issued

2020

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Compared with the same specialty in Potomac and Maryland

4 active clinicians are listed under Behavior Analyst with a practice address in Potomac, MD (1,553 in Maryland).

Addresses are self-reported to NPPES and may be out of date.

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2025-06-16
Behavior Analyst Primary Specialty

NUCC Taxonomy Code: 103K00000X

License # reported to NPPES MD 1-25-81824

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.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Maryland Board of Physicians.
Look Up on State Board Site

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

11 Historical Events
πŸ“
Updated Practice Location June 16, 2025

Registered at 12944 TRAVILAH RD STE C, POTOMAC, MD 208541079 (Tel: 7724630444)

πŸ“
Updated Business Mailing Address June 16, 2025

Registered at 13630 COLGATE WAY APT 732, SILVER SPRING, MD 209047254 (Tel: 7817314518)

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) June 16, 2025

Behavior Analyst (license number reported to NPPES: MD 1-25-81824)

πŸ“
Updated Practice Location October 03, 2022

Registered at 1887 SE PORT ST LUCIE BLVD, PORT ST LUCIE, FL 349525530 (Tel: 7724630444)

πŸ“
Updated Business Mailing Address October 03, 2022

Registered at 2702 SE IBIS AVE, PORT ST LUCIE, FL 349527252 (Tel: 7724630444)

βœ…
NPI Profile Active December 02, 2020

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) December 02, 2020

Registered at 10850 S US HIGHWAY 1 STE 2, PORT ST LUCIE, FL 349526407 (Tel: 7724630444)

πŸ“
Business Mailing Address (Initial Record) December 02, 2020

Registered at 10850 S US HIGHWAY 1 STE 2, PORT ST LUCIE, FL 349526407 (Tel: 7724630444)

πŸ‘€
Provider Name / Credentials (Initial Record) December 02, 2020

Recorded as SUPRISHA PHILLIPS

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) December 02, 2020

Behavior Technician (license number reported to NPPES: FL RBT-20-142630)

🟒
Initial NPI Registration & Enumeration December 02, 2020

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1710582358
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: December 02, 2020
Last Update: June 16, 2025
Sole Proprietor: Yes

Mailing Address

13630 Colgate Way Apt 732

Silver Spring, MD 209047254

Phone: 7817314518

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.