MEDICARE: JASON 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
1	103K00000X	Behavior Analyst	1-13-14641	IN

General Provider Information

NPI Number	:	1073933974
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JASON SHAW BCBA

Provider Business Mailing Address
First Line	:	2810 W ETHEL AVE STE 1
Second Line	:
City	:	MUNCIE
State	:	IN
Zip	:	47304-4402
Country	:	US
Telephone Number	:	765-282-8222
Fax Number	:	765-282-8222

Provider Business Practice Location Address
First Line	:	2810 W ETHEL AVE STE 1
Second Line	:
City	:	MUNCIE
State	:	IN
Zip	:	47304-4402
Country	:	US
Telephone Number	:	765-282-8222
Fax Number	:	765-282-8222

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/18/2014
Last Update Date	:	04/18/2014

Similar Medicare Providers

1609723956 — DR. HALEY MARIE DURHAM
Practice Location Address:

2810 W ETHEL AVE STE 1
MUNCIE, IN
47304-4402

Practice Phone: 765-730-6343
Practice Fax:

1487852943 — THOMAS J. MELHAM, MD, LLC
Practice Location Address:

2810 W ETHEL AVE STE 5
MUNCIE, IN
47304-4402

Practice Phone: 765-287-8596
Practice Fax: 765-287-8593

1699623785 — DUNGARVIN INDIANA, LLC
Practice Location Address:

4312 W HUMMINGBIRD WAY
MUNCIE, IN
47304-2803

Practice Phone: 651-699-0206
Practice Fax:

1952778052 — BRANDY LOPILATO APN
Practice Location Address:

1714 W ROYALE DR
MUNCIE, IN
47304-2240

Practice Phone: 765-372-8187
Practice Fax: 812-492-6390

1306705397 — ASHLEY MCCALL MCLAUGHLIN NP
Practice Location Address:

2901 W JACKSON ST
MUNCIE, IN
47304-4307

Practice Phone: 765-286-3900
Practice Fax:

1689520959 — KEN'NIA PATTON
Practice Location Address:

2620 ACCUTECH WAY
MUNCIE, IN
47304-9462

Practice Phone: 765-282-8222
Practice Fax:

Directions to “ JASON SHAW BCBA” 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.