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

Ellen Ruth Tannebaum

Individual provider Behavior Analyst · NPI 1528710662

Ellen Ruth Tannebaum is a Behavior Analyst in Windsor Mill, Maryland. Registered with an NPI since 2022.

In the registry since
2022

Practice location Address checks out

7001 Johnnycake Rd
Windsor Mill, MD 21244-2418
Phone: (410) 774-9840
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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 number1528710662
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJanuary 20, 2022
Last updated in NPPESJanuary 20, 2022
Certification dateJanuary 20, 2022
Mailing address4193 Fallow Dr, Hampstead, MD 21074-2587

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