Individual
LAURA SHAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BCBA AND SLP/A
Contact information
Practice address
1372 NEWBURY NECK RD, SURRY, ME 04684-3819
(207) 356-8211
Mailing address
1372 NEWBURY NECK RD, SURRY, ME 04684-3819
(207) 356-8211
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-18-32169
—
2355S0801X
Speech-Language Assistant
SAS2290
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1-18-32169
BACB
—
01
—
SAS2290
MAINE PROFESSIONAL LICENSING
ME
Enumeration date
02/23/2014
Last updated
09/25/2018
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