Individual
AIDAN SHEA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2288 BLUE WATER BLVD STE 310, ODENTON, MD 21113-3301
(844) 854-1116
Mailing address
1301 E ORANGEWOOD AVE, ANAHEIM, CA 92805-6807
(800) 249-1266
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
07/11/2022
Last updated
12/21/2022
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