Shavonne Clarice Beachum

Individual provider Active NPI Behavior Technician · Towson, MD

NPI 1194278325 · NPPES record last updated May 24, 2026

Key facts

NPI
1194278325
Entity type
Individual (NPI type 1)
Primary specialty
Behavior Technician 106S00000X
Practice address
1220 E Joppa Rd Ste 332
Towson, MD 21286-5811
Phone
(443) 353-9547
NPI assigned
Jul 23, 2016
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)CodeLicenseStatePrimary
Behavior Technician 106S00000X Yes
Personal Care Attendant 3747P1801X

Addresses

Primary practice location

1220 E Joppa Rd Ste 332
Towson, MD 21286-5811

Mailing address

7434 Wild Honey Way
Elkridge, MD 21075-7292
Phone (667) 349-4676

Other providers in Towson, MD

All providers in Towson, MD · Behavior Technician in Maryland

Sources for this page

Verify at the official NPI Registry.