Healthcare Provider Details

I. General information

NPI: 1386571362
Provider Name (Legal Business Name): SHANIA ROSE DAVIS
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/05/2026
Last Update Date: 05/05/2026
Certification Date: 05/05/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9440 MARLBORO PIKE STE 100
UPPER MARLBORO MD
20772-3687
US

IV. Provider business mailing address

2013 DOWNSHIRE CT
WALDORF MD
20603-3886
US

V. Phone/Fax

Practice location:
  • Phone: 301-895-9804
  • Fax:
Mailing address:
  • Phone: 240-556-8649
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106S00000X
TaxonomyBehavior Technician
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: