DataLabs
datalabs.health made in the usa
DataLabs Facebook Wall   Like   Follow DataLabs on Twitter   Tweet  
Contact us Sign in |  Documentation | 
NPI Code Detail

MEDICARE: EMMA SHAW

MEDICARE: EMMA SHAW
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1373H00000XDay Training/Habilitation SpecialistCA
2106S00000XBehavior Technician

General Provider Information

NPI Number : 1760250708
Entity Type Code : Individual
Provider Name (Legal Business Name) : EMMA SHAW
Provider Business Mailing Address
First Line : 3371 PARKER HILL RD
Second Line :
City : SANTA ROSA
State : CA
Zip : 95404-1732
Country : US
Telephone Number : 707-535-0289
Fax Number :
Provider Business Practice Location Address
First Line : 3371 PARKER HILL RD
Second Line :
City : SANTA ROSA
State : CA
Zip : 95404-1732
Country : US
Telephone Number : 707-535-0289
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/19/2023
Last Update Date : 02/12/2026

Similar Medicare Providers

1669702221 — KRISTINA AILEEN SCHLOSSER ACSW, MHRS, MSW
Practice Location Address:
3371 PARKER HILL RD
SANTA ROSA, CA
95404-1732
Practice Phone: 707-535-0289
Practice Fax:
1245502707 — PROGRESS FOUNDATION
Practice Location Address:
3371 PARKER HILL RD
SANTA ROSA, CA
95404-1732
Practice Phone: 707-255-9028
Practice Fax: 707-255-3715
1487913596 — JANEEN VIEIRA-TAYLOR MTF
Practice Location Address:
3371 PARKER HILL RD
SANTA ROSA, CA
95404-1732
Practice Phone: 707-255-9028
Practice Fax: 707-255-3715
1083132203 — LONI DOUCETTE
Practice Location Address:
3371 PARKER HILL RD
SANTA ROSA, CA
95404-1732
Practice Phone: 707-535-0289
Practice Fax:
1558889683 — MRS. DANIELLE LEE GRIZZLE
Practice Location Address:
3371 PARKER HILL RD
SANTA ROSA, CA
95404-1732
Practice Phone: 707-535-0289
Practice Fax:
1457879587 — MR. MATTHEW LONG
Practice Location Address:
3371 PARKER HILL RD
SANTA ROSA, CA
95404-1732
Practice Phone: 707-535-0289
Practice Fax:

Directions to “ EMMA SHAW ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.