National Provider Identifier Database

DYNAMIC CHANGE
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities

A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with intellectual and/or developmental disabilities


Contact Information

DYNAMIC CHANGE
405 LONG ISLAND AVE APT B
BALTIMORE, MD21229-4010
Phone: 443-537-5246
Fax:
Website:
Specialty Taxonomy Code
* Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities 320900000X
Community/Behavioral Health 251S00000X
Substance Abuse Disorder Rehabilitation Facility 324500000X

* Indicates primary specialty

NPI Profile & details for DYNAMIC CHANGE

NPI Number 1396688271
Legal business name
LBN
DYNAMIC CHANGE
Authorized official SUDIA CORBIN - (DIRECTOR)
Entity Organization
Organization subpart No
Enumeration date 04/14/2026
Last updated 04/14/2026 - About 2 months ago
Sole proprietor1 Not specified
Identifiers n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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