Most Relevant Information
Provider Data
| NPI Number: | 1003643081 |
| Provider Name: | SHANNON ELIZABETH PASQUALE M.S., BCBA, LABA |
| Entity Type: | Individual |
| Taxonomy Code: | 103K00000X |
| Specialty: | Behavior Analyst |
| License Number: | LABA10000635 |
Most Important Dates
| Enumeration Date: | 09/16/2024 |
| Last Updated: | 09/19/2024 |
Provider Practice Location
44 SCHOOL ST RM 325
BOSTON
MA
021084209
Practice Location Phone/Fax
| Phone: | 8557728847 |
| Fax: |
Provider Mailing Location
340 BERLIN ST
CLINTON
MA
015103919
Provider Mailing Phone/Fax
| Phone: | 9788551358 |
| Fax: |