Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Jacob Issaac Shaw

Individual provider Behavior Technician · NPI 1477369825

Jacob Issaac Shaw is a Behavior Technician in Hollywood, Florida. Practices as a sole proprietor. Licensed in Florida.

Licensed in
FL
In the registry since
2024
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Practice location Address checks out

1515 Trailhead Ter
Hollywood, FL 33021-1410
Phone: (786) 797-4662
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Behavior Technician (primary) Taxonomy 106S00000X · Licence RBT-24-395489 (FL)

Record details

NPI number1477369825
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedDecember 9, 2024
Last updated in NPPESDecember 9, 2024
Certification dateDecember 9, 2024
Mailing address1515 Trailhead Ter, Hollywood, FL 33021-1410

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