Shane Costa
NPI #1023538113 in Needham Heights, Massachusetts
Provider Information
- NPI Number
- 1023538113
- Entity Type
- Individual
- Name
- Shane Costa
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Behavior Technician
- Enumeration Date
- Jun 21, 2017
- Last Updated
- Mar 17, 2018
Practice Location
- Address
- 145 ROSEMARY ST STE K1
- City
- Needham Heights
- State
- Massachusetts
- ZIP Code
- 02494-3259
- Phone
- (781) 400-2482
Specialties & Taxonomy Codes
| Specialty |
|---|
| Behavior Technician |
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