Chantel Dominique Shaw
Behavior Technician in Crofton, MD. Individual provider (NPI-1).
NPI number1285585877
StatusActive
Last updated in NPPESFeb 11, 2026
Details
- NPI
- 1285585877
- Entity type
- Individual (NPI-1)
- Name
- Chantel Dominique Shaw
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Feb 9, 2026
- Certification date
- Feb 11, 2026
- Last updated
- Feb 11, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 106S00000X | Behavior Technician | MD10274198910 | MD | Yes |
Practice location
1651 Crofton Blvd Ste 6Crofton, MD 21114-1314
Phone 410-888-0184
Mailing address
1500 S Douglas RdCoral Gables, FL 33134-4108
Phone 844-424-1818
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All 91 Behavior Technician providers in Crofton · All 685 providers in Crofton
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