Individual
AMANDA KATHLEEN SHUNAMON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, BCBA, LABA
Contact information
Practice address
146 BEACON ST, FRAMINGHAM, MA 01701-4911
(508) 431-0053
Mailing address
146 BEACON ST, FRAMINGHAM, MA 01701-4911
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
BACB516240
—
Other
Enumeration date
01/18/2022
Last updated
01/18/2022
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