Adrienne Shaw, M.A, BCBA
Behavior Analyst in Anderson, IN. Individual provider (NPI-1).
NPI number1477288561
StatusActive
Last updated in NPPESFeb 19, 2026
Details
- NPI
- 1477288561
- Entity type
- Individual (NPI-1)
- Name
- Adrienne Shaw
- Credential
- M.A, BCBA
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jul 21, 2022
- Certification date
- Feb 19, 2026
- Last updated
- Feb 19, 2026
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 103K00000X | Behavior Analyst | – | IN | Yes |
Practice location
810 W 53rd StAnderson, IN 46013-1516
Phone 765-667-4967
Mailing address
810 W 53rd StAnderson, IN 46013-1516
Phone 765-667-4967
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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