Miss. Kyalai A Shaw, SUDRC
Miss. Kyalai A Shaw, SUDRC is a Behavior Technician in Oakland, California. Licensed in California. Registered with an NPI since 2021.
- Licensed in
- CA
- In the registry since
- 2021
- Specialties on file
- 2
Practice location Address checks out
3845 Telegraph AveOakland, CA 94609-2419
Phone: (510) 450-1197
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Specialties & licences
| Addiction (Substance Use Disorder) Counselor (primary) | Taxonomy 101YA0400X · Licence 16183 (CA) |
|---|---|
| Behavior Technician | Taxonomy 106S00000X · Licence RBT-20-142531 (CA) |
Record details
| NPI number | 1386312783 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Credentials | SUDRC |
| Sole proprietor | No |
| NPI enumerated | August 31, 2021 |
| Last updated in NPPES | April 26, 2024 |
| Certification date | April 26, 2024 |
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