MEDICARE: SHANA DANIELLE HARRIS

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

General Provider Information

NPI Number	:	1871448910
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SHANA DANIELLE HARRIS

Provider Business Mailing Address
First Line	:	9217 LEIGH CHOICE CT
Second Line	:
City	:	OWINGS MILLS
State	:	MD
Zip	:	21117-6346
Country	:	US
Telephone Number	:	443-472-9775
Fax Number	:

Provider Business Practice Location Address
First Line	:	400 E PRATT ST
Second Line	:
City	:	BALTIMORE
State	:	MD
Zip	:	21202-3116
Country	:	US
Telephone Number	:	877-643-8738
Fax Number	:

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

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

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Directions to “ SHANA DANIELLE HARRIS ” Practice Location

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