Provider Demographics
NPI:1841172293
Name:NIGHTINGALE, SHAUNA ELAINE (RBT)
Entity type:Individual
Prefix:
First Name:SHAUNA
Middle Name:ELAINE
Last Name:NIGHTINGALE
Suffix:
Gender:F
Credentials:RBT
Other - Prefix:
Other - First Name:SHAUNA
Other - Middle Name:ELAINE
Other - Last Name:NIGHTINGALE
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:RBT
Mailing Address - Street 1:27 LINFIELD ST APT 2
Mailing Address - Street 2:
Mailing Address - City:HOLBROOK
Mailing Address - State:MA
Mailing Address - Zip Code:02343-1465
Mailing Address - Country:US
Mailing Address - Phone:339-987-2329
Mailing Address - Fax:339-987-2329
Practice Address - Street 1:80 WASHINGTON ST P55
Practice Address - Street 2:
Practice Address - City:NORWELL
Practice Address - State:MA
Practice Address - Zip Code:02061-1742
Practice Address - Country:US
Practice Address - Phone:781-290-3886
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-07-24
Last Update Date:2025-07-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician