Individual
MR. SHAWN FENIMORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.S., BSL
Contact information
Practice address
647 WYNCROFT LN, APT 1, LANCASTER, PA 17603-6930
(484) 356-3628
Mailing address
647 WYNCROFT LN, APT 1, LANCASTER, PA 17603-6930
(484) 356-3628
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
BH002873
PA
Other
Enumeration date
11/20/2015
Last updated
11/20/2015
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