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SHAUNA VIOLET COSTELLO, BCBA

Active

SHAUNA VIOLET COSTELLO, BCBA is a Behavior Analyst healthcare provider located in DETROIT, Michigan. NPI 1134590631 is currently active in the NPPES registry. Verify at CMS.

Behavior Analyst · DETROIT, MI

Registration Details

NPI Number
1134590631
Provider Type
Individual
Gender
Female
NPI Issued
Oct 12, 2015 (10.813045284523 yrs)
Last Updated
Aug 29, 2018
License
1-15-19483 (MI)

Practice Information

Address
910 SEWARD ST RM 410
DETROIT, MI, 48202
Browse MI providers · Browse ZIP 48202
Phone
2485440360
Primary Specialty
Behavior Analyst
103K00000X

Other Behavior Analyst Providers in DETROIT, MI

Name Credential NPI
MS. CAROL POTTER MA, BCBA, LBA 1003073099
MRS. RACHEL A BARNHART M.S., BCBA 1487886156
ANGELA MARIE FARLEY LLMSW 1265749279
ELYSE WISEMAN BRADFORD BCBA 1093090359
CYNTHIA ALISIA HERRON 1194085464
ASHLEY SOUTAR M.S., BCBA, LBA 1063753994
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.