Individual
LANAYA D SHAW
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
412 19TH ST SE, CEDAR RAPIDS, IA 52403-2702
(319) 777-9167
Mailing address
412 19TH ST SE, CEDAR RAPIDS, IA 52403-2702
(319) 777-9167
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
07/17/2026
Last updated
07/17/2026
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