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Individual

KHRYSTIN SHANKLIN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LBS

Contact information

Practice address
10025 DELLCASTLE RD, GAITHERSBURG, MD 20886-1318
(000) 000-0000
Mailing address
10025 DELLCASTLE RD, MONTGOMERY VILLAGE, MD 20886-1318
(808) 798-9440

Taxonomy

Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
BH007967
PA
106S00000X
Behavior Technician
MD
171M00000X
Case Manager/Care Coordinator
VA

Other

Enumeration date
05/14/2019
Last updated
12/05/2025
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