Nicole Danielle Shaw, MS, NCC, LBS

NPI #1356989966 in State College, Pennsylvania

Provider Information

NPI Number: 1356989966
Entity Type: Individual
Name: Nicole Danielle Shaw, MS, NCC, LBS
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Analyst
Credential: MS, NCC, LBS
Enumeration Date: Dec 13, 2019
Last Updated: Dec 13, 2019

Practice Location

Address: 1400 FOX HILL RD STE 100
City: State College
State: Pennsylvania
ZIP Code: 16803-1877
Phone: (814) 238-4851

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Analyst	103K00000X	Primary

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