Brooklyn Shaw
Behavior Technician · Normal, IL
NPI number
1902596083
Practice location
1302 Franklin Ave Ste L500Normal, IL 61761-3551
- Phone
- (309) 834-0080
NPI record
- NPI
- 1902596083
- Entity type
- Individual (Type 1)
- Enumeration date
- May 11, 2023
- Last updated
- May 11, 2023
- Certified
- May 11, 2023
- Sole proprietor
- Yes
Specialties & taxonomy codes
| Taxonomy | Code | License | State |
|---|---|---|---|
| Behavior Technician Primary | 106S00000X |
— | — |
Mailing address
2000 Jacobssen DrNormal, IL 61761-6277
- Phone
- (309) 451-8888
About Brooklyn Shaw
Brooklyn Shaw is a healthcare provider registered in the NPI registry with the primary taxonomy Behavior Technician (code 106S00000X). The practice location is 1302 Franklin Ave Ste L500, Normal, IL 61761-3551. The NPI number 1902596083 was assigned on May 11, 2023 and the record was last updated on May 11, 2023.
Frequently asked questions
What is the NPI number of Brooklyn Shaw?
The NPI number is 1902596083.
What is the phone number of Brooklyn Shaw?
The phone number listed for the practice location is (309) 834-0080.
Where is Brooklyn Shaw located?
1302 Franklin Ave Ste L500, Normal, IL 61761-3551.
What is the taxonomy code for Brooklyn Shaw?
The primary taxonomy code is 106S00000X – Behavior Technician.
Is this information correct?
All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.
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