Individual
TONIA SHEA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1111 ELM ST, WEST SPRINGFIELD, MA 01089
(413) 734-0300
Mailing address
1111 ELM ST, WEST SPRINGFIELD, MA 01089
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
103K00000X
MA
Other
Enumeration date
11/14/2011
Last updated
11/14/2011
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