OrganizationActive
Premier Behavioral Health, LLC
NPI 1972258952 · Early Intervention Provider Agency · Woodbine, MD
Provider details
- NPI number
- 1972258952
- Entity type
- Organization
- Primary specialty
- Early Intervention Provider AgencyAgencies
- Organization subpart
- No
- Authorized official
- Breonna Mabry, Founder(760) 809-7804
Specialties & taxonomies
Agencies
- Behavior Analyst103K00000X
Behavioral Health & Social Service Providers
Profile Score
Established profile(61/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
4 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
3107 Cabin Run
Woodbine, MD 21797-7933
Phone: (760) 809-7804
Street-level locationGet directions
Mailing address
3107 Cabin Run
Woodbine, MD 21797-7933
Registry dates
- Enumerated
- 2022-02-17
- Last updated
- 2022-02-17
- Certified
- 2022-02-17
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.