Individual
CANDYCE SHAW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
120 NE 136TH AVE STE 220, VANCOUVER, WA 98684-6951
(360) 952-7060
Mailing address
5850 GRANITE PKWY STE 600, PLANO, TX 75024-6753
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
11/30/2023
Last updated
11/30/2023
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