Alexis Shaw

NPI #1841766342 in Richton Park, Illinois

Provider Information

NPI Number: 1841766342
Entity Type: Individual
Name: Alexis Shaw
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Developmental Therapist
Enumeration Date: Oct 23, 2018
Last Updated: Sep 13, 2019

Practice Location

Address: 4989 MEADOW LAKE DR
City: Richton Park
State: Illinois
ZIP Code: 60471-1188
Phone: (708) 518-2960

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X
Developmental Therapist	222Q00000X	Primary

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