Individual
MIRANDA SHELBY SHUPP
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5300 WESTVIEW DR STE 200, FREDERICK, MD 21703-8303
(240) 242-5865
Mailing address
1500 S DOUGLAS RD STE 230, CORAL GABLES, FL 33134-4108
(844) 244-1818
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
106S00000X
Behavior Technician
—
—
Other
Enumeration date
09/13/2024
Last updated
07/21/2025
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