Emily Shaw
Behavior Technician in Detroit, MI. Individual provider (NPI-1).
NPI number1124722012
StatusActive
Last updated in NPPESApr 17, 2026
Details
- NPI
- 1124722012
- Entity type
- Individual (NPI-1)
- Name
- Emily Shaw
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Mar 27, 2023
- Certification date
- Apr 17, 2026
- Last updated
- Apr 17, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 106S00000X | Behavior Technician | – | – | Yes |
Practice location
400 Renaissance Ctr.Ste 2600
Detroit, MI 48243-1502
Phone 855-832-6727
Mailing address
7108 South Kanner HwyStuart, FL 34997-7462
Phone 866-727-8274
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