Brian Shaw, BT

NPI #1285295790 in Slc, Utah

Provider Information

NPI Number: 1285295790
Entity Type: Individual
Name: Brian Shaw, BT
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Behavior Technician
Credential: BT
Enumeration Date: Jun 25, 2019
Last Updated: Jun 25, 2019

Practice Location

Address: 515 E 700 S STE 2A
City: Slc
State: Utah
ZIP Code: 84102-3307
Phone: (801) 935-4171

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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