Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MRS. SHAWNTEA NICOLE CRUDUP, M.A. BCBA
Active Sole ProprietorMRS. SHAWNTEA NICOLE CRUDUP, M.A. BCBA is a Behavior Analyst healthcare provider located in SPRINGFIELD, Massachusetts. NPI 1962974378 is currently active in the NPPES registry. Verify at CMS.
Behavior Analyst · SPRINGFIELD, MA
Registration Details
- NPI Number
- 1962974378
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Dec 23, 2018 (7.5995926067777 yrs)
- Last Updated
- Dec 23, 2018
- License
-
1-18-33224 (MA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
1 FEDERAL ST BLDG 101SPRINGFIELD, MA, 011051222Browse MA providers · Browse ZIP 01105
- Phone
- 6036895825
- Primary Specialty
-
Behavior Analyst
103K00000X
Other Behavior Analyst Providers in SPRINGFIELD, MA
| Name | Credential | NPI |
|---|---|---|
| MISS MIRIAM RODRIGUEZ | — | 1609003227 |
| MISS LAURA ANN HANRATTY | BCABA | 1760783583 |
| SARA GRISE | — | 1154614782 |
| JAMES O'NEILL | BCBA | 1194090746 |
| TANYA PERKINS | — | 1730434713 |
| MATTHEW MATRONI | BCBA | 1396179404 |
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.