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NPI Code Detail

MEDICARE: SHAYNA FANTINI

MEDICARE: SHAYNA FANTINI
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1103K00000XBehavior Analyst

General Provider Information

NPI Number : 1184145716
Entity Type Code : Individual
Provider Name (Legal Business Name) : SHAYNA FANTINI
Provider Business Mailing Address
First Line : 8 HASKELL ST
Second Line :
City : ALLSTON
State : MA
Zip : 02134-1569
Country : US
Telephone Number : 978-994-4890
Fax Number :
Provider Business Practice Location Address
First Line : 85 CHAPEL ST
Second Line :
City : NEWTON
State : MA
Zip : 02458-1065
Country : US
Telephone Number : 617-923-7575
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/05/2017
Last Update Date : 08/18/2020

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Directions to “ SHAYNA FANTINI ” Practice Location

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These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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