MEDICARE: SHAYNA ANN BUZZELLA

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
1	103K00000X	Behavior Analyst

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1467195438
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SHAYNA ANN BUZZELLA

Provider Business Mailing Address
First Line	:	18563 E 47TH AVE
Second Line	:
City	:	DENVER
State	:	CO
Zip	:	80249-7764
Country	:	US
Telephone Number	:	954-990-9990
Fax Number	:

Provider Business Practice Location Address
First Line	:	7001 TOWER RD STE A
Second Line	:
City	:	DENVER
State	:	CO
Zip	:	80249-7381
Country	:	US
Telephone Number	:	303-406-9550
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/18/2022
Last Update Date	:	06/17/2025

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Directions to “ SHAYNA ANN BUZZELLA ” Practice Location

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