Individual
SHEA SAMPLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
77 W BALTIMORE PIKE STE 100B, MEDIA, PA 19063-5639
(610) 957-0143
Mailing address
77 W BALTIMORE PIKE STE 100B, MEDIA, PA 19063-5639
(484) 965-9966
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
12/18/2020
Last updated
02/03/2025
About Stedi
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