Individual
JOSEPH SHANE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
BCBA
Contact information
Practice address
201 BAKERS RIDGE RD, MORGANTOWN, WV 26508
(304) 598-4300
Mailing address
201 BAKERS RIDGE RD, MORGANTOWN, WV 26508-1500
(304) 598-4300
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-10-7303
—
Other
Enumeration date
03/18/2016
Last updated
04/15/2022
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