Individual
SHANTEL D PETERKIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
10411 MOTOR CITY DR STE 500, BETHESDA, MD 20817-1005
(980) 272-7375
Mailing address
1055 E COLORADO BLVD STE 560, PASADENA, CA 91106-2380
(818) 241-6780
(818) 241-6853
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
02/10/2020
Last updated
02/10/2020
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