Individual
WILLIAM DAVID SHAW
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
BCABA
Contact information
Practice address
312 WHITWELL DR, ROANOKE, VA 24019-2039
(540) 366-7399
Mailing address
312 WHITWELL DR, ROANOKE, VA 24019-2039
(540) 366-7399
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
0134000122
VA
Other
Enumeration date
09/16/2015
Last updated
09/16/2015
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