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

Raven Shaw, BEHAVIORTECHNICIAN

Individual provider Behavior Technician · NPI 1194590232

Raven Shaw, BEHAVIORTECHNICIAN is a Behavior Technician in Grand Rapids, Michigan. Registered with an NPI since 2023.

In the registry since
2023

Practice location Address checks out

3809 Lake Eastbrook Blvd SE
Grand Rapids, MI 49546-5931
Phone: (616) 604-8492
Show map & directions

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

Specialties & licences

Behavior Technician (primary) Taxonomy 106S00000X

Record details

NPI number1194590232
Entity typeIndividual (Type 1)
GenderFemale
Credentials BEHAVIORTECHNICIAN
Sole proprietorNo
NPI enumeratedNovember 20, 2023
Last updated in NPPESNovember 22, 2024
Certification dateNovember 22, 2024

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