Provider Demographics
NPI:1467195438
Name:BUZZELLA, SHAYNA ANN
Entity type:Individual
Prefix:
First Name:SHAYNA
Middle Name:ANN
Last Name:BUZZELLA
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:18563 E 47TH AVE
Mailing Address - Street 2:
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80249-7764
Mailing Address - Country:US
Mailing Address - Phone:954-990-9990
Mailing Address - Fax:
Practice Address - Street 1:7001 TOWER RD STE A
Practice Address - Street 2:
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80249-7381
Practice Address - Country:US
Practice Address - Phone:303-406-9550
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-04-18
Last Update Date:2025-06-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst