Taylor R Shaw

NPI #1851185821 in Groton, Connecticut

Provider Information

NPI Number: 1851185821
Entity Type: Individual
Name: Taylor R Shaw
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Behavior Technician
Enumeration Date: Apr 7, 2025
Last Updated: Apr 7, 2025

Practice Location

Address: 63 GEORGIA ST
City: Groton
State: Connecticut
ZIP Code: 06340-6102
Phone: (860) 705-0090

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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