Shanita McLean
Individual provider Active NPI Behavior Technician · Perry Hall, MD
NPI 1114775848 · NPPES record last updated May 8, 2024
Key facts
- NPI
- 1114775848
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Behavior Technician 106S00000X
- License
- 1336588649 (MD)
- Practice address
- 9096 Rexis Ave
Perry Hall, MD 21128-9021 - Phone
- (443) 453-2031
- Fax
- (443) 216-7397
- NPI assigned
- May 8, 2024
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1336588649 | MD | MD | Behavior Technician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Advancing Abilities, LLC | Current |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | 1336588649 | MD | Yes |
Addresses
Primary practice location
9096 Rexis Ave
Perry Hall, MD 21128-9021
Mailing address
9096 Rexis Ave
Perry Hall, MD 21128-9021
Phone (443) 453-2031
Other providers in Perry Hall, MD
- Maryland CVS Pharmacy LLC
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- Maatah Mbumbi
- Kelly McCloskey
- Zoie McIntosh
- Medstar Medical Group II LLC
- Medstar Medical Group II LLC
- Megan Rufael Nutrition LLC
- Izabella B Miranda O'Brien
- Mood 4 Thoughts Integrative Wellness LLC
All providers in Perry Hall, 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 May 8, 2024. 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.