Organization
S.H.A.P.E. SOLUTION LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CAROLYN YOUNG (CEO/FOUNDER)
(202) 215-9252
Entity
Organization
Contact information
Practice address
3257 NILE LN, LAUREL, MD 20724-6128
(202) 215-9252
Mailing address
3257 NILE LN, LAUREL, MD 20724-6128
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
106E00000X
Assistant Behavior Analyst
—
—
106S00000X
Behavior Technician
—
—
251C00000X
Developmentally Disabled Services Day Training Agency
—
—
385HR2060X
Child Intellectual and/or Developmental Disabilities Respite Care
—
—
Other
Enumeration date
09/05/2022
Last updated
09/05/2022
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