Most Relevant Information
Provider Data
| NPI Number: | 1003369299 |
| Provider Name: | IAN H SHAW |
| Entity Type: | Individual |
| Taxonomy Code: | 103K00000X |
| Specialty: | Behavior Analyst |
| License Number: |
Most Important Dates
| Enumeration Date: | 07/25/2016 |
| Last Updated: | 07/25/2016 |
Provider Practice Location
109 OAK ST
NEWTON
MA
024641492
Practice Location Phone/Fax
| Phone: | 6179165573 |
| Fax: |
Provider Mailing Location
109 OAK ST
NEWTON
MA
024641492
Provider Mailing Phone/Fax
| Phone: | 6179165573 |
| Fax: |