Provider Demographics
NPI:1598449431
Name:SHIMANSKY, SEAN PATRICK (M ED, BCBA, LABA)
Entity Type:Individual
Prefix:MR
First Name:SEAN
Middle Name:PATRICK
Last Name:SHIMANSKY
Suffix:
Gender:M
Credentials:M ED, BCBA, LABA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:71 GREEN TREE LN
Mailing Address - Street 2:
Mailing Address - City:SOMERS
Mailing Address - State:CT
Mailing Address - Zip Code:06071-1211
Mailing Address - Country:US
Mailing Address - Phone:413-374-8779
Mailing Address - Fax:
Practice Address - Street 1:55 DEER PARK DR
Practice Address - Street 2:
Practice Address - City:EAST LONGMEADOW
Practice Address - State:MA
Practice Address - Zip Code:01028-3198
Practice Address - Country:US
Practice Address - Phone:413-525-1500
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-06-12
Last Update Date:2023-06-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT529103K00000X
MALABA1750103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst