NPI 1073933974
Jason Shaw, BCBA
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
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.