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Individual

SHANNON ELIZABETH PASQUALE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.S., BCBA, LABA

Contact information

Practice address
44 SCHOOL ST RM 325, BOSTON, MA 02108-4209
(855) 772-8847
Mailing address
340 BERLIN ST, CLINTON, MA 01510-3919
(978) 855-1358

Taxonomy

Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
LABA10000635
MA

Other

Enumeration date
09/16/2024
Last updated
09/19/2024
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