Candice Tyan Shaw, OT, BCBA
Candice Tyan Shaw, OT, BCBA is a Behavior Analyst in Fort Worth, Texas. Practices as a sole proprietor. Registered with an NPI since 2012.
- In the registry since
- 2012
- Specialties on file
- 2
What do these letters mean?
Practice location Address checks out
1000 St Louis St Ste 102Fort Worth, TX 76104
Phone: (817) 921-5020
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Pediatric Occupational Therapist (primary) | Taxonomy 225XP0200X · Licence 993772 |
|---|---|
| Behavior Analyst | Taxonomy 103K00000X · Licence 1-11-9504 |
Record details
| NPI number | 1811243074 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Credentials | OT , BCBA |
| Sole proprietor | Yes |
| NPI enumerated | July 25, 2012 |
| Last updated in NPPES | March 7, 2014 |
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