Shameka Allan
Individual provider Active NPI Behavior Analyst · Clinton, MD
NPI 1144955378 · NPPES record last updated Jul 21, 2022
Key facts
- NPI
- 1144955378
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Behavior Analyst 103K00000X
- License
- 070750240 (GA)
- Practice address
- 8106 Maxfield Dr
Clinton, MD 20735-2261 - Phone
- (202) 290-4245
- NPI assigned
- Jul 21, 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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 070750240 | GA | MD | Behavioral Analyst |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | 070750240 | GA | Yes |
Addresses
Primary practice location
8106 Maxfield Dr
Clinton, MD 20735-2261
Mailing address
8106 Maxfield Dr
Clinton, MD 20735-2261
Phone (202) 290-4245
Other providers in Clinton, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 21, 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.