| Shaping Success Llc | |
|
232 N Main St East Longmeadow MA 01028-1844 | |
| (413) 427-2169 | |
| Not Available |
| Full Name | Shaping Success Llc |
|---|---|
| Speciality | Behavior Analyst |
| Location | 232 N Main St, East Longmeadow, Massachusetts |
| Authorized Official Name and Position | Vanessa Ferrero (DIRECTOR/ BCBA) |
| Authorized Official Contact | 4134272169 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Shaping Success Llc 183 Brookhaven Dr East Longmeadow MA 01028-1474 Ph: () - | Shaping Success Llc 232 N Main St East Longmeadow MA 01028-1844 Ph: (413) 427-2169 |
| NPI Number | 1477187979 |
|---|---|
| Provider Enumeration Date | 02/24/2020 |
| Last Update Date | 04/02/2024 |
| Certification Date | 04/02/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1477187979 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | (* (Not Available)) | Primary |
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