Individual
KRISTA SHOTWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA BCBA
Contact information
Practice address
22593 THREE NOTCH RD, CALIFORNIA, MD 20619-3054
(301) 862-2505
(301) 862-2548
Mailing address
22593 THREE NOTCH RD, CALIFORNIA, MD 20619-3054
(301) 862-2505
(301) 862-2548
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-17-25738
MD
Other
Enumeration date
04/20/2017
Last updated
06/16/2021
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