TIFFANY SHAW

FORT WAYNE, IN
NPI1518355296
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy103K00000X Behavior Analyst
(Licence: IN  1-14-16224)
Enumeration Date2015-01-02
Last Update Date2015-01-02
Business Address
-- TIFFANY SHAW BCBA
4118 N CLINTON ST
FORT WAYNE, IN 46805-1210
Phone number: 260-373-1050
Mailing Address
-- TIFFANY SHAW BCBA
4118 N CLINTON ST
FORT WAYNE, IN 46805-1210
Phone number: 260-373-1050