Individual
SHANNON ELIZABETH LEWIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S., BCBA
Contact information
Practice address
10015 OLD COLUMBIA RD STE F100, COLUMBIA, MD 21046-1755
(443) 656-9050
Mailing address
10015 OLD COLUMBIA RD STE F100, COLUMBIA, MD 21046-1755
(443) 656-9050
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-21-52193
MD
Other
Enumeration date
10/17/2021
Last updated
05/21/2025
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