Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Peacock Autism

Organization Behavior Analyst · NPI 1275333569

Peacock Autism is a Behavior Analyst in Rosedale, Maryland. Registered with an NPI since 2025.

In the registry since
2025

Practice location Address checks out

6818 Fordcrest Rd
Rosedale, MD 21237-2187
Phone: (443) 636-6003
Fax: (443) 684-2809
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Behavior Analyst (primary) Taxonomy 103K00000X

Record details

NPI number1275333569
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Poonam Nandal — Owner · (302) 306-4395
NPI enumeratedMarch 15, 2025
Last updated in NPPESMarch 15, 2025
Certification dateMarch 15, 2025
Mailing address6818 Fordcrest Rd, Rosedale, MD 21237-2187

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