Active NPIIndividual provider

Mr. Recairdo D Mangrum, PHD

Behavior Analyst in Owings Mills, Maryland

NPI Number1609115369
Practice location
500 Redland CT, Owings Mills, MD 21117-3264
Fax
—
Last updated
January 9, 2026

Recairdo Demetrius Mangrum is a Behavior Analyst based in Owings Mills, MD. Recairdo Demetrius Mangrum practices in Owings Mills, MD and has the professional credentials of PHD. The NPI Number for Recairdo Demetrius Mangrum is 1609115369 and holds a License No. LBA972 (MD). The current practice location address for Recairdo Demetrius Mangrum is 500 Redland CT, Owings Mills, MD 21117-3264 and can be reached out via phone at 201-979-1336.

Provider Profile Details

NPI Number
1609115369
Provider Name
Recairdo Demetrius Mangrum
Credential
PHD
Provider Entity Type
Individual
Gender
Male
Address
500 Redland CT, Owings Mills, MD 21117-3264
Phone Number
201-979-1336
Primary Taxonomy
Behavior Analyst · 103K00000X
Sole Proprietor
No
Provider Enumeration Date
January 31, 2013
Last Update Date
January 9, 2026
Certification Date
January 9, 2026
NPI Status
Active

Provider Business Practice Location Address Details

Address
500 Redland CT
Owings Mills, MD 21117-3264
Zip
21117-3264
Phone Number
201-979-1336
Owings Mills, MD 21117Get directions →

Provider Business Mailing Address Details

Address
175 Belgrove Dr
Kearny, NJ 07032-1507
City
Kearny
State
NJ
Zip
07032-1507
Phone Number
201-979-1336

License Information

License Number (1)
LBA972
License State (1)
MD
Taxonomy (1)
Behavior Analyst · 103K00000X
License Number (2)
1-12-12387
Taxonomy (2)
Behavior Analyst · 103K00000X · Primary
Taxonomy (3)
Behavior Analyst · 103K00000X
License Number (4)
BH000158
License State (4)
PA
Taxonomy (4)
Behavior Analyst · 103K00000X
License Number (5)
0133000226
License State (5)
VA
Taxonomy (5)
Behavior Analyst · 103K00000X

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Mr. Recairdo D Mangrum, PHD?

The NPI number of Mr. Recairdo D Mangrum, PHD is 1609115369. It was assigned on January 31, 2013 and is currently active in the NPPES registry.

What is the specialty of Mr. Recairdo D Mangrum, PHD?

Mr. Recairdo D Mangrum, PHD is registered under the primary taxonomy Behavior Analyst (code 103K00000X), licensed in MD under license number LBA972.

Where does Mr. Recairdo D Mangrum, PHD practice?

The practice location is 500 Redland CT, Owings Mills, MD 21117-3264. The office can be reached at 201-979-1336 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1609115369 directly on the NPPES registry website.

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