Individual
DARLEEN SHAW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BSL
Contact information
Practice address
119 LINCOLN WAY W, MC CONNELLSBURG, PA 17233-1302
(717) 485-3264
(717) 485-3467
Mailing address
625 W ELM AVE, HANOVER, PA 17331-5125
(717) 632-4900
(717) 632-1942
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
BH000478
PA
Other
Enumeration date
11/18/2016
Last updated
11/18/2016
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