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1134590631
SHAUNA VIOLET COSTELLO
DETROIT, MI
NPI
1134590631
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
103K00000X Behavior Analyst
(Licence: MI 1-15-19483)
Enumeration Date
2015-10-12
Last Update Date
2018-08-29
Business Address
SHAUNA VIOLET COSTELLO BCBA
910 SEWARD ST RM 410
DETROIT, MI 48202
Phone number: 248-544-0360
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Mailing Address
SHAUNA VIOLET COSTELLO BCBA
910 SEWARD ST RM 410
DETROIT, MI 48202-2355
Phone number:
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