Braxton, Shannon Shantrice

Braxton, Shannon Shantrice is an individual health care provider with primary practice located at 7613 Standish Pl , Derwood MD 20855-2702. She recently has only one registered license in Behavioral Health & Social Service Providers / Behavioral Analyst, which is considered as her primary health care specialty. Braxton, Shannon Shantrice can be contacted via phone (240) 672-0330.

Contact Information

Primary practice address
7613 Standish Pl Derwood MD 20855-2702
Phone: (240) 672-0330
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Behavioral Analyst 103K00000X

Profile Details

NPI number 1245725910
LBN Legal business name Braxton, Shannon Shantrice
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 26th, 2018
Last updated Jun 26th, 2018 - about 8 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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