Individual
SHANNON N CIUK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
30 WILLOW ST, ADAMS, MA 01220-2155
(413) 329-9288
Mailing address
30 WILLOW ST, ADAMS, MA 01220-2155
(413) 329-9288
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
106S00000X
Behavior Technician
—
—
222Q00000X
Developmental Therapist
—
—
Other
Enumeration date
05/23/2013
Last updated
02/06/2025
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