Individual
SHANIAH CAPRI HEARD I
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
7175 COLUMBIA GATEWAY DR, COLUMBIA, MD 21046-2534
(888) 344-5977
Mailing address
4318 FLINT HILL DR APT 301, OWINGS MILLS, MD 21117-5874
(610) 329-7845
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
07/25/2017
Last updated
07/25/2017
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