Matavious Shaw
Matavious Shaw is a Behavior Technician in Winter Park, Florida. Practices as a sole proprietor. Registered with an NPI since 2020.
- In the registry since
- 2020
Practice location Address checks out
6961 University BlvdWinter Park, FL 32792-6710
Phone: (407) 543-8356
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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 | 1215535349 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | October 12, 2020 |
| Last updated in NPPES | October 12, 2020 |
| Certification date | October 12, 2020 |
| Mailing address | 4450 Medallion Dr Apt 906, Orlando, FL 32808-1334 |
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