MEDICARE: SHANA PASTER

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	103K00000X	Behavior Analyst
2	106S00000X	Behavior Technician

General Provider Information

NPI Number	:	1154037802
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SHANA PASTER

Provider Business Mailing Address
First Line	:	703 HANKIN ST
Second Line	:
City	:	SILVER SPRING
State	:	MD
Zip	:	20910-4543
Country	:	US
Telephone Number	:	301-655-9757
Fax Number	:

Provider Business Practice Location Address
First Line	:	703 HANKIN STREET
Second Line	:
City	:	SILVER SPRING
State	:	MD
Zip	:	20910-2091
Country	:	US
Telephone Number	:	301-655-9757
Fax Number	:

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

Provider Enumeration Date	:	01/26/2023
Last Update Date	:	02/02/2023

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Directions to “ SHANA PASTER ” Practice Location

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