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1023538113
SHANE COSTA
NEEDHAM HEIGHTS, MA
NPI
1023538113
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
106S00000X Behavior Technician
Enumeration Date
2017-06-21
Last Update Date
2018-03-17
Business Address
SHANE COSTA
145 ROSEMARY ST STE K1
NEEDHAM HEIGHTS, MA 02494-3259
Phone number: 781-400-2482
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Mailing Address
SHANE COSTA
1025 E 54TH ST
INDIANAPOLIS, IN 46220-3219
Phone number: 317-584-5166
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