# EARLY LENS NEUROBEHAVIORAL CENTER

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1932085149
- **Authorized official:** MR. JAVRON SHAKIR KEENE M.S., BCBA, LBA (CEO)
- **Authorized official phone:** (410) 705-0957

## Contact information

- **Practice address:** 1900 N HOWARD ST STE 101, BALTIMORE, MD 21218-5909
- **Practice address phone:** (410) 705-0957
- **Mailing address:** 3 FALLON CT APT J, NOTTINGHAM, MD 21236-5170
- **Mailing address phone:** (410) 705-0957

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 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 | — | NULL | Yes |

## Other

- **Enumeration date:** 08/13/2025
- **Last updated:** 07/08/2026