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1124781158
SHANNON ELIZABETH LEWIS
COLUMBIA, MD
NPI
1124781158
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
103K00000X Behavior Analyst
(Licence: MD 1-21-52193)
Enumeration Date
2021-10-17
Last Update Date
2021-10-17
Business Address
SHANNON ELIZABETH LEWIS M.S., BCBA
7090 SAMUEL MORSE DR STE 100
COLUMBIA, MD 21046-3444
Phone number: 855-910-6147
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Mailing Address
SHANNON ELIZABETH LEWIS M.S., BCBA
7090 SAMUEL MORSE DR STE 100
COLUMBIA, MD 21046-3444
Phone number:
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