Destiny Shaw
Destiny Shaw is a Behavior Technician in Modesto, California. Registered with an NPI since 2018.
- In the registry since
- 2018
Practice location Address checks out
2630 W Rumble RdModesto, CA 95350-0155
Phone: (120) 957-9944
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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 | 1346744687 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | March 21, 2018 |
| Last updated in NPPES | March 21, 2018 |
| Mailing address | 2630 W Rumble Rd, Modesto, CA 95350-0155 |
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