Individual
MRS. GINA GAVAZZI SHEA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BCBA, LABA
Contact information
Practice address
1 COMMERCIAL ST, FOXBORO, MA 02035-2530
(508) 478-0207
(508) 634-6984
Mailing address
1 COMMERCIAL STREET, FOXBORO, MA 02035
(508) 772-1270
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
2039
MA
222Q00000X
Developmental Therapist
—
—
Other
Enumeration date
11/05/2012
Last updated
10/13/2017
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