Individual
DAVID J SHAW
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.S., BCBA
Contact information
Practice address
3817 CLOVERHILL CT, BRANDON, FL 33511-7937
(813) 571-8010
(813) 571-8010
Mailing address
PO BOX 6332, BRANDON, FL 33508-6005
(813) 571-8010
(813) 571-8010
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-03-1429
FL
103T00000X
Psychologist
—
—
Other
Enumeration date
07/17/2008
Last updated
02/22/2010
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