Individual
ALBERT CARL SHAW
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3850 W ANTHONY RD, OCALA, FL 34475-8738
(321) 241-1170
(321) 241-1171
Mailing address
3850 W ANTHONY RD, OCALA, FL 34475-8738
(321) 241-1170
(321) 241-1171
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
FL
Other
Enumeration date
10/26/2021
Last updated
10/26/2021
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