Individual provider · Type 1 NPI

Brooklyn Shaw

Behavior Analyst · Bloomington, IL

NPI number 1902596083 Active

Practice location

1015 S Mercer Ave
Bloomington, IL 61701-7107

Mailing address

2550 N Hollywood Way Ste 301
Burbank, CA 91505-5025

Specialties and licenses

TaxonomyCodeLicense
Behavior Analyst Primary 103K00000XNone listed

Behavior Analyst: A behavior analyst is qualified by at least a master's degree and Behavior Analyst Certification Board certification and/or a state-issued credential (such as a license) to practice behavior analysis independently. Behavior analysts provide the required supervision to assistant behavior analysts and behavior technicians. A behavior analyst delivers services consistent with the dimensions of applied behavior analysis…

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About NPI 1902596083

Brooklyn Shaw's National Provider Identifier is 1902596083, issued on May 11, 2023. The primary taxonomy on file is Behavior Analyst (103K00000X), and the practice location is in Bloomington, IL. The record was last updated on Sep 28, 2026.