CANDICE TYAN SHAW

FORT WORTH, TX
NPI1811243074
Former NameCANDY TYAN SHAW
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy225XP0200X Occupational Therapist, Pediatrics
(Licence:   993772)
Additional Taxonomies103K00000X Behavior Analyst
(Licence:   1-11-9504)
Enumeration Date2012-07-25
Last Update Date2014-03-07
Business Address
-- CANDICE TYAN SHAW OT, BCBA
1000 ST. LOUIS STREET SUITE 102
FORT WORTH, TX 76104
Phone number: 817-921-5020
Mailing Address
-- CANDICE TYAN SHAW OT, BCBA
305 NE LOOP 280 BUSINESS TOWER 1 SUITE 200
HURST, TX 76053
Phone number: 817-292-8787