Individual
CAROLYN SHATTUCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
480 MARIANNA DR, MILLERSVILLE, MD 21108-1820
(240) 417-4147
Mailing address
480 MARIANNA DR # A, MILLERSVILLE, MD 21108-1820
(240) 417-4147
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
LBA360
MD
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
06/28/2017
Last updated
08/14/2026
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