Provider Demographics
NPI:1346018777
Name:CAMIEL, SHAYNA B
Entity Type:Individual
Prefix:
First Name:SHAYNA
Middle Name:B
Last Name:CAMIEL
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 1:150 ORLEANS ST UNIT 105
Mailing Address - Street 2:
Mailing Address - City:BOSTON
Mailing Address - State:MA
Mailing Address - Zip Code:02128-2175
Mailing Address - Country:US
Mailing Address - Phone:617-455-1196
Mailing Address - Fax:
Practice Address - Street 1:150 ORLEANS ST UNIT 105
Practice Address - Street 2:
Practice Address - City:BOSTON
Practice Address - State:MA
Practice Address - Zip Code:02128-2175
Practice Address - Country:US
Practice Address - Phone:617-455-1196
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-12-14
Last Update Date:2023-12-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes222Q00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersDevelopmental Therapist
No252Y00000XAgenciesEarly Intervention Provider Agency