Organization
EARLY LENS NEUROBEHAVIORAL CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JAVRON SHAKIR KEENE M.S., BCBA, LBA (CEO)
(410) 705-0957
Entity
Organization
Contact information
Practice address
1900 N HOWARD ST STE 101, BALTIMORE, MD 21218-5909
(410) 705-0957
Mailing address
3 FALLON CT APT J, NOTTINGHAM, MD 21236-5170
(410) 705-0957
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
—
—
103T00000X
Psychologist
—
—
103TS0200X
School Psychologist
—
—
225X00000X
Occupational Therapist
—
—
235Z00000X
Speech-Language Pathologist
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
—
261QM0850X
Adult Mental Health Clinic/Center
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
—
—
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
—
Other
Enumeration date
08/13/2025
Last updated
10/15/2025
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