Individual
BETH SHAW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4050 HEALTHWAY DR, AURORA, IL 60504-8183
(815) 440-1002
Mailing address
4050 HEALTHCARE DR., AURORA, IL 60504
(815) 440-1002
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
IL
Other
Enumeration date
10/29/2025
Last updated
10/29/2025
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