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Organization
EARLY LENS NEUROBEHAVIORAL CENTER
Active
Organization
EARLY LENS NEUROBEHAVIORAL CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JAVRON SHAKIR KEENE M.S., BCBA, LBA (CEO)
(410) 705-0957
Entity
Organization
Contact information
Practice address
1900 N HOWARD ST STE 101, BALTIMORE, MD 21218-5909
(410) 705-0957
Mailing address
3 FALLON CT APT J, NOTTINGHAM, MD 21236-5170
(410) 705-0957
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
—
NULL
103K00000X
Behavior Analyst
—
—
103T00000X
Psychologist
—
NULL
103T00000X
Psychologist
—
—
103TS0200X
School Psychologist
—
NULL
103TS0200X
School Psychologist
—
—
225X00000X
Occupational Therapist
—
NULL
225X00000X
Occupational Therapist
—
—
235Z00000X
Speech-Language Pathologist
—
NULL
235Z00000X
Speech-Language Pathologist
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
NULL
261QM0850X
Adult Mental Health Clinic/Center
—
NULL
261QM0855X
Adolescent and Children Mental Health Clinic/Center
—
NULL
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
NULL
Other
Enumeration date
08/13/2025
Last updated
07/08/2026
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