Bradley Shaw I
NPI #1730051574 in Whitmore Lake, Michigan
Provider Information
- NPI Number
- 1730051574
- Entity Type
- Individual
- Name
- Bradley Shaw I
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Behavior Technician
- Enumeration Date
- Sep 22, 2025
- Last Updated
- Sep 22, 2025
Practice Location
- Address
- 605 TURQUOISE DR
- City
- Whitmore Lake
- State
- Michigan
- ZIP Code
- 48189-8287
- Phone
- (248) 697-8126
Specialties & Taxonomy Codes
| Specialty |
|---|
| Behavior Technician |
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