A Broad Place LLC
NPI 1669190450ActiveOrganization· Behavior Analyst· Windsor Mill, MD
Behavior Analyst in Windsor Mill, Maryland, registered in NPPES in August 2022. The authorized official on file is Abimbola Runsewe, DNP, Clinical Director.
Overview
| NPI | 1669190450 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Aug 17, 2022 |
| Last updated in NPPES | Sep 11, 2025 |
| Certified by provider | Aug 17, 2022 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Behavior Analyst Primary | 103K00000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 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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