Individual provider · Type 1 NPI
Alexis Shaw
Developmental Therapist · Richton Park, IL
Practice location
4989 Meadow Lake Dr
Richton Park, IL 60471-1188
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Behavior Technician | 106S00000X | None listed |
| Developmental Therapist Primary | 222Q00000X | None listed |
Developmental Therapist: A Developmental Therapist is a person qualified by completion of an approved program in Developmental Therapy and where applicable credentialed by the state and practicing within the scope of the credential, or credentialed by completion of education experiences as approved by the state and practicing within the scope of that credential or, where state credentialing does not exist, certified by the Board of the Deve…
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About NPI 1841766342
Alexis Shaw's National Provider Identifier is 1841766342, issued on Oct 23, 2018. The primary taxonomy on file is Developmental Therapist (222Q00000X), and the practice location is in Richton Park, IL. The record was last updated on Sep 13, 2019.