Individual
JONATHAN DAVID SHAW
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
BCBA
Contact information
Practice address
50101 GOVERNORS DR STE 170, CHAPEL HILL, NC 27517-9257
(984) 254-5650
(317) 520-8200
Mailing address
3500 DEPAUW BLVD STE 3070, INDIANAPOLIS, IN 46268-6135
(855) 324-0885
(317) 520-8200
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-21-47108
NC
Other
Enumeration date
01/31/2021
Last updated
09/12/2022
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