Shanell Adams

Individual provider Active NPI Behavior Technician · Middle River, MD

NPI 1205770534 · NPPES record last updated Apr 23, 2026

Key facts

NPI
1205770534
Entity type
Individual (NPI type 1)
Primary specialty
Behavior Technician 106S00000X
Practice address
405 Williams CT Ste 120
Middle River, MD 21220-2892
Phone
(718) 215-5311
Fax
(718) 865-5165
NPI assigned
Apr 16, 2026
Sex
Female
Sole proprietor
Yes

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 MD Yes

Addresses

Primary practice location

405 Williams CT Ste 120
Middle River, MD 21220-2892

Mailing address

PO Box 360595
Pittsburgh, PA 15251-6595
Phone (410) 710-9484

Other providers in Middle River, MD

All providers in Middle River, MD · Behavior Technician in Maryland

Sources for this page

Verify at the official NPI Registry.