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1518355296
TIFFANY SHAW
FORT WAYNE, IN
NPI
1518355296
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
103K00000X Behavior Analyst
(Licence: IN 1-14-16224)
Enumeration Date
2015-01-02
Last Update Date
2015-01-02
Business Address
-- TIFFANY SHAW BCBA
4118 N CLINTON ST
FORT WAYNE, IN 46805-1210
Phone number: 260-373-1050
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Mailing Address
-- TIFFANY SHAW BCBA
4118 N CLINTON ST
FORT WAYNE, IN 46805-1210
Phone number: 260-373-1050
Copy
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