Provider Demographics
NPI:1336035831
Name:ALLEN, SHAWNAY T
Entity type:Individual
Prefix:
First Name:SHAWNAY
Middle Name:T
Last Name:ALLEN
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:245 ADMIRAL DR
Mailing Address - Street 2:
Mailing Address - City:ANNAPOLIS
Mailing Address - State:MD
Mailing Address - Zip Code:21401-3139
Mailing Address - Country:US
Mailing Address - Phone:305-481-8458
Mailing Address - Fax:
Practice Address - Street 1:900 COMMERCE RD
Practice Address - Street 2:
Practice Address - City:ANNAPOLIS
Practice Address - State:MD
Practice Address - Zip Code:21401-2948
Practice Address - Country:US
Practice Address - Phone:410-205-1260
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-06-13
Last Update Date:2025-06-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician