Recairdo Demetrius Mangrum, PH.D.
NPI 1609115369ActiveIndividual· Behavior Analyst· Owings Mills, MD
Behavior Analyst (PH.D.) in Owings Mills, Maryland, licensed in MD, PA and VA, with an NPI issued in January 2013.
Overview
| NPI | 1609115369 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | PH.D. |
| Sole proprietor | No |
| NPI issued | Jan 31, 2013 |
| Last updated in NPPES | Jan 9, 2026 |
| Certified by provider | Jan 9, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Behavior Analyst Primary | 103K00000X | 1-12-12387 | — |
| Behavior Analyst | 103K00000X | LBA972 | MD |
| Behavior Analyst | 103K00000X | — | — |
| Behavior Analyst | 103K00000X | BH000158 | PA |
| Behavior Analyst | 103K00000X | 0133000226 | VA |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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