Shelby Nicole Macananny, RBT
Individual provider Active NPI Behavior Technician · Marriottsville, MD
NPI 1104537307 · NPPES record last updated Dec 8, 2022
Key facts
- NPI
- 1104537307
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Behavior Technician 106S00000X
- Practice address
- 2470 Longstone LN Ste M
Marriottsville, MD 21104-1515 - Phone
- (410) 307-3182
- NPI assigned
- Dec 8, 2022
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | Yes |
Addresses
Primary practice location
2470 Longstone LN Ste M
Marriottsville, MD 21104-1515
Mailing address
2470 Longstone LN
Marriottsville, MD 21104-1510
Other providers in Marriottsville, MD
- Diane Lamothe
- Christine Lawn
- Janet Ann Lee
- Lifebridge Community Physicians, Inc.
- Light of Hope Counseling, LLC
- Emily Markus
- Jennifer Maureen McDonald
- Michael Seamus Meteer
- Michelle Ann Miller
- Candice Mitchell
All providers in Marriottsville, MD · Behavior Technician in Maryland
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 8, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.