Individual
CHRIS C. SHAW JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.A., BCBA
Contact information
Practice address
1110 CHURCH ST, PASADENA, CA 91105-2725
(310) 383-4629
Mailing address
1110 CHURCH ST, PASADENA, CA 91105-2725
(310) 383-4629
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-11-9392
CA
Other
Enumeration date
03/12/2012
Last updated
06/08/2012
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