Matthew Steven Shaw
Behavior Technician in Orlando, FL. Individual provider (NPI-1).
NPI number1548041007
StatusActive
Last updated in NPPESOct 11, 2023
Details
- NPI
- 1548041007
- Entity type
- Individual (NPI-1)
- Name
- Matthew Steven Shaw
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Oct 11, 2023
- Certification date
- Oct 11, 2023
- Last updated
- Oct 11, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 106S00000X | Behavior Technician | – | – | Yes |
Practice location
2000 N Alafaya Trl Ste 200Orlando, FL 32826-4732
Phone 844-854-1116
Mailing address
1500 S Douglas Rd Ste 230Coral Gables, FL 33134-4108
Phone 844-244-1818
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