Tiffany Shaw, BCBA

NPI #1518355296 in Fort Wayne, Indiana

Provider Information

NPI Number: 1518355296
Entity Type: Individual
Name: Tiffany Shaw, BCBA
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Analyst
Credential: BCBA
Enumeration Date: Jan 2, 2015
Last Updated: Jan 2, 2015

Practice Location

Address: 4118 N CLINTON ST
City: Fort Wayne
State: Indiana
ZIP Code: 46805-1210
Phone: (260) 373-1050

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Analyst	103K00000X	Primary

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