Individual
SHANA ALYSSA SLATER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
500 REDLAND CT STE 102, OWINGS MILLS, MD 21117-3265
(443) 884-5570
Mailing address
64 PARSON RD APT 2, CLIFTON, NJ 07012-1505
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
LBA1235
MD
106S00000X
Behavior Technician
—
—
Other
Enumeration date
05/05/2021
Last updated
05/17/2023
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