Individual
STACEY SHOBER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
8615 E VILLAGE AVE, MONTGOMERY VILLAGE, MD 20886-4316
(240) 912-2220
(301) 926-9384
Mailing address
247 MONTPELIER CT, WESTMINSTER, MD 21157-4576
(240) 446-4417
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-21-56137
MD
106S00000X
Behavior Technician
RBT-18-63218
MD
Other
Enumeration date
07/18/2019
Last updated
03/29/2022
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