Individual
SHAYNA MAYAH GREENBLATT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
8950 STATE ROUTE 108 STE 100, COLUMBIA, MD 21045-2146
(410) 630-7140
Mailing address
5820 YORK RD STE 202, BALTIMORE, MD 21212-3620
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
29197
MD
106S00000X
Behavior Technician
—
—
Other
Enumeration date
10/06/2019
Last updated
10/06/2022
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