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NPI Code Detail

MEDICARE: MELINDA SHAW BCBA

MEDICARE: MELINDA SHAW BCBA
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
1103K00000XBehavior Analyst

General Provider Information

NPI Number : 1952755290
Entity Type Code : Individual
Provider Name (Legal Business Name) : MELINDA SHAW BCBA
Provider Business Mailing Address
First Line : 1000 N. WEST STREET
Second Line : SUITE 1200
City : WILMINGTON
State : DE
Zip : 19801-1058
Country : US
Telephone Number : 855-832-6727
Fax Number : 477-675-9100
Provider Business Practice Location Address
First Line : 1000 N. WEST STREET
Second Line : SUITE 1200
City : WILMINGTON
State : DE
Zip : 19801-1058
Country : US
Telephone Number : 855-832-6727
Fax Number : 477-675-9100
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/22/2016
Last Update Date : 05/15/2026

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Directions to “ MELINDA SHAW BCBA” Practice Location

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