Traci Nicole Shaw

NPI #1154948610 in Citrus Heights, California

Provider Information

NPI Number: 1154948610
Entity Type: Individual
Name: Traci Nicole Shaw
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Analyst
Enumeration Date: Jul 1, 2020
Last Updated: May 15, 2025

Practice Location

Address: 5630 ALBERT LN
City: Citrus Heights
State: California
ZIP Code: 95610-7624
Phone: (510) 862-9950

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X
Behavior Analyst	103K00000X	Primary

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