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

Lacey R Shaw

Individual provider Behavior Technician · NPI 1124787510

Lacey R Shaw is a Behavior Technician in Greenville, South Carolina. Registered with an NPI since 2021.

In the registry since
2021
Specialties on file
2

Practice location Address checks out

10 Arborland Way
Greenville, SC 29615-2201
Phone: (864) 520-1614
Fax: (864) 484-8458
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Behavior Analyst (primary) Taxonomy 103K00000X · Licence 1-22-59042
Behavior Technician Taxonomy 106S00000X

Record details

NPI number1124787510
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedDecember 13, 2021
Last updated in NPPESOctober 30, 2023
Certification dateOctober 30, 2023

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