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Search › Massachusetts › 164W00000X

Shannon Ayala

NPI 1366025421 · on the registry since 2021

Practice

Address
155 Airport Rd
Fitchburg, MA 01420
Phone
(978) 343-6300
Fax
(978) 343-2803
Organisation at this address
Habit Opco
Habit Opco, Llc
Fitchburg Comprehensive Treatment Center
Fitchburg Comprehensive Treatment Center Opioid Use Disorder Program
Inferred from a shared address, not stated in the registry.
Clinicians at this address
66

Registry record

Primary taxonomy
164W00000X
164W00000X
Licence states on file
MA
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2021-05-05

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Massachusetts