Costello, Shauna Violet

Costello, Shauna Violet is an individual health care provider with primary practice located at 910 Seward St Rm 410 , Detroit MI 48202. She recently has only one registered license in Behavioral Health & Social Service Providers / Behavioral Analyst, which is considered as her primary health care specialty. Costello, Shauna Violet can be contacted via phone (248) 544-0360.

Contact Information

Primary practice address
910 Seward St Rm 410 Detroit MI 48202
Phone: (248) 544-0360
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Behavioral Analyst 103K00000X 1-15-19483 Michigan

Profile Details

NPI number 1134590631
LBN Legal business name Costello, Shauna Violet
Credentials BCBA
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 12th, 2015
Last updated Aug 29th, 2018 - about 8 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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