Shauntel Anderson
Behavior Technician in Baltimore, MD. Individual provider (NPI-1).
NPI number1962003103
StatusActive
Last updated in NPPESNov 4, 2020
Details
- NPI
- 1962003103
- Entity type
- Individual (NPI-1)
- Name
- Shauntel Anderson
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Nov 4, 2020
- Certification date
- Nov 4, 2020
- Last updated
- Nov 4, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 106S00000X | Behavior Technician | – | – | Yes |
Practice location
400 E Pratt St Fl 8Baltimore, MD 21202-3180
Phone 866-872-7601
Mailing address
5850 Stevens Forest RdColumbia, MD 21045-3792
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