Individual
AMBERLY DEVON SHAW
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2600 PARK TOWER DR STE 200, VIENNA, VA 22180-7394
(410) 910-1451
Mailing address
600 FALKIRK CT, FREDERICKSBURG, VA 22406-6405
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
03/05/2026
Last updated
03/05/2026
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