Individual
BRANDON STEPHON SHAW
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CCMA, RBT
Contact information
Practice address
421 WINDCHIME PL, COLORADO SPRINGS, CO 80919-1984
(888) 754-0398
Mailing address
3045 WOODLAND HILLS DR APT 308, COLORADO SPRINGS, CO 80918-4662
(719) 722-7695
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
CO
Other
Enumeration date
03/06/2024
Last updated
03/06/2024
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