Individual
SHAWNA GRUMBLES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
59 INTERSTATE DR STE 100, WEST SPRINGFIELD, MA 01089-5100
(413) 209-1833
Mailing address
13A FINN ST, NORTHAMPTON, MA 01060-2207
(248) 497-6097
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
LABA10001116
MA
Other
Enumeration date
04/24/2016
Last updated
10/16/2024
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