Chelsea Meagan Shaw

NPI #1750896296 in Groton, Connecticut

Provider Information

NPI Number: 1750896296
Entity Type: Individual
Name: Chelsea Meagan Shaw
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Behavior Technician
Enumeration Date: Dec 6, 2017
Last Updated: Dec 6, 2017

Practice Location

Address: 220 ROUTE 12 STE 205
City: Groton
State: Connecticut
ZIP Code: 06340-3414
Phone: (877) 315-8080

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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