Shelby Nicole Macananny, RBT

NPI #1104537307 in Marriottsville, Maryland

Provider Information

NPI Number: 1104537307
Entity Type: Individual
Name: Shelby Nicole Macananny, RBT
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Technician
Credential: RBT
Enumeration Date: Dec 8, 2022
Last Updated: Dec 8, 2022

Practice Location

Address: 2470 LONGSTONE LN STE M
City: Marriottsville
State: Maryland
ZIP Code: 21104-1515
Phone: (410) 307-3182

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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