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

Tra'vant'e Keagon Shaw

Individual provider Behavior Technician · NPI 1043048986

Tra'vant'e Keagon Shaw is a Behavior Technician in Edmond, Oklahoma. Licensed in Oklahoma. Registered with an NPI since 2024.

Licensed in
OK
In the registry since
2024

Practice location Address checks out

401 S Coltrane Rd Ste 260
Edmond, OK 73034-6722
Phone: (405) 465-6607
Show map & directions

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

Specialties & licences

Behavior Technician (primary) Taxonomy 106S00000X · Licence 1165994 (OK)

Record details

NPI number1043048986
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedJuly 23, 2024
Last updated in NPPESJuly 23, 2024
Certification dateJuly 23, 2024
Mailing address301 W Davis Ave Apt 15, Weatherford, OK 73096-3016

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