Whalio Doctors

NPI 1073933974

Jason Shaw, BCBA

Practitioner Behavior Analyst Muncie, IN

Practice location

Address
2810 W Ethel Ave STE 1, Muncie, IN 47304-4402
Phone
(765) 282-8222
Fax
(765) 282-8222

Registered specialties

Behavior Analyst Primary
Behavioral Health & Social Service Providers Taxonomy 103K00000X Licence 1-13-14641 (IN)

Registry record

NPI
1073933974
Entity type
Individual
Sex (as registered)
Male
NPI issued
18 Apr 2014
Record last updated
18 Apr 2014

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.