NPI 1003407792

Ryan Shaw

Practitioner Behavior Technician Baltimore, MD

Practice location

Address: 400 E Pratt St, Baltimore, MD 21202-3116
Phone: (886) 625-4740
Mailing address: 3309 4th St SE Unit E, Washington, DC 20032-5459

Registered specialties

Behavior Technician Primary

Behavioral Health & Social Service Providers Taxonomy 106S00000X

Other Behavior Technician providers in Maryland →

Registry record

NPI: 1003407792
Entity type: Individual
Sex (as registered): Male
NPI issued: 27 Jan 2021
Record last updated: 27 Jan 2021

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.