Provider Demographics
NPI:1104650928
Name:CASCIANO, SHAUNA NICOLE (RBT CERTIFICATE)
Entity type:Individual
Prefix:
First Name:SHAUNA
Middle Name:NICOLE
Last Name:CASCIANO
Suffix:
Gender:F
Credentials:RBT CERTIFICATE
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:70 E WASHINGTON AVE
Mailing Address - Street 2:
Mailing Address - City:WASHINGTON
Mailing Address - State:NJ
Mailing Address - Zip Code:07882-1913
Mailing Address - Country:US
Mailing Address - Phone:908-689-1777
Mailing Address - Fax:
Practice Address - Street 1:70 E WASHINGTON AVE
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:NJ
Practice Address - Zip Code:07882-1913
Practice Address - Country:US
Practice Address - Phone:908-689-1777
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-08-26
Last Update Date:2024-08-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ106S00000X106S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician