Individual
BRITTANEY SHAW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
204 N MAIN ST, ENTERPRISE, AL 36330-2539
(334) 350-0711
(334) 475-4059
Mailing address
204 N MAIN ST, ENTERPRISE, AL 36330-2539
(334) 350-0711
(334) 475-4059
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
04/27/2021
Last updated
04/27/2021
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