Shannon Chatel Rhea Cavanaugh, MA, BCBA

Individual provider Active NPI Behavior Analyst · Northampton, MA

NPI 1790116705 · NPPES record last updated Dec 2, 2013

Key facts

NPI
1790116705
Entity type
Individual (NPI type 1)
Primary specialty
Behavior Analyst 103K00000X
License
11211443
Practice address
8 Atwood Dr
Northampton, MA 01060-4272
Phone
(413) 335-2502
NPI assigned
Dec 2, 2013
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No
Credentials
Master of Arts

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Analyst 103K00000X 11211443 Yes

Addresses

Primary practice location

8 Atwood Dr
Northampton, MA 01060-4272

Mailing address

109 Farnum St
West Springfield, MA 01089-2323
Phone (413) 335-2502

Other providers in Northampton, MA

All providers in Northampton, MA · Behavior Analyst in Massachusetts

Sources for this page

Verify at the official NPI Registry.