Individual
DEVANTE SHAW
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2120 11TH ST, SLIDELL, LA 70458-3555
(228) 226-2990
Mailing address
2120 11TH ST, SLIDELL, LA 70458-3555
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
10/27/2025
Last updated
10/27/2025
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