Provider Demographics
NPI:1962373035
Name:COPELAND, SHAUN M (LBS)
Entity type:Individual
Prefix:MR
First Name:SHAUN
Middle Name:M
Last Name:COPELAND
Suffix:
Gender:M
Credentials:LBS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:322 N GEORGE ST
Mailing Address - Street 2:
Mailing Address - City:MILLERSVILLE
Mailing Address - State:PA
Mailing Address - Zip Code:17551-1524
Mailing Address - Country:US
Mailing Address - Phone:570-242-7503
Mailing Address - Fax:
Practice Address - Street 1:1846 CHARTER LN STE 210
Practice Address - Street 2:
Practice Address - City:LANCASTER
Practice Address - State:PA
Practice Address - Zip Code:17601-6773
Practice Address - Country:US
Practice Address - Phone:717-863-5415
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-09-13
Last Update Date:2025-09-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA008009103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst