Brooklyn Shaw
Brooklyn Shaw is a Behavior Technician in Normal, Illinois. Practices as a sole proprietor. Registered with an NPI since 2023.
- In the registry since
- 2023
Practice location Address checks out
1302 Franklin Ave Ste L500Normal, IL 61761-3551
Phone: (309) 834-0080
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Behavior Technician (primary) | Taxonomy 106S00000X |
|---|
Record details
| NPI number | 1902596083 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | Yes |
| NPI enumerated | May 11, 2023 |
| Last updated in NPPES | May 11, 2023 |
| Certification date | May 11, 2023 |
| Mailing address | 2000 Jacobssen Dr, Normal, IL 61761-6277 |
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