# CHARLOTTE MARIE SHEAN

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1841871274
- **Gender:** F
- **Credential:** BCBA

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 103K00000X | Behavior Analyst | 460-140 | WI | Yes |

## Other

- **Enumeration date:** 04/17/2021
- **Last updated:** 11/07/2022

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 1-21-53495 | BACB | — |
| 01 | — | 460-140 | WISCONSIN DEPARTMENT OF SAFETY AND PROFESSIONAL SERVICES | WI |
