Provider Demographics
NPI:1326879917
Name:CLAUDIO, SHIRLEY CATHERINE
Entity type:Individual
Prefix:
First Name:SHIRLEY
Middle Name:CATHERINE
Last Name:CLAUDIO
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 1:2308 GREENWOOD DR
Mailing Address - Street 2:
Mailing Address - City:SAN PABLO
Mailing Address - State:CA
Mailing Address - Zip Code:94806-3117
Mailing Address - Country:US
Mailing Address - Phone:510-393-5475
Mailing Address - Fax:
Practice Address - Street 1:2308 GREENWOOD DR
Practice Address - Street 2:
Practice Address - City:SAN PABLO
Practice Address - State:CA
Practice Address - Zip Code:94806-3117
Practice Address - Country:US
Practice Address - Phone:510-393-5475
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-08-13
Last Update Date:2024-08-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician