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Individual

LISA STARR SHORTER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
1651 OLD MEADOW RD, MC LEAN, VA 22102-4311
(703) 506-0123
Mailing address
9307 SPRING HOUSE LN APT I, LAUREL, MD 20708-3250
(917) 710-4058

Taxonomy

Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
1-19-37510
MD
103K00000X
Behavior Analyst
1-19-37510
103K00000X
Behavior Analyst
Primary
LBA695
MD
106S00000X
Behavior Technician

Other

Enumeration date
04/26/2017
Last updated
12/05/2023
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