MEDICARE: SHANIA DAVIS

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	106S00000X	Behavior Technician		MD

General Provider Information

NPI Number	:	1881549376
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SHANIA DAVIS

Provider Business Mailing Address
First Line	:	7001 JOHNNYCAKE RD STE 106
Second Line	:
City	:	WINDSOR MILL
State	:	MD
Zip	:	21244-2419
Country	:	US
Telephone Number	:	410-774-9840
Fax Number	:

Provider Business Practice Location Address
First Line	:	7001 JOHNNYCAKE RD STE 106
Second Line	:
City	:	WINDSOR MILL
State	:	MD
Zip	:	21244-2419
Country	:	US
Telephone Number	:	410-774-9840
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/02/2026
Last Update Date	:	03/02/2026

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Directions to “ SHANIA DAVIS ” Practice Location

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