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NPI Code Detail

MEDICARE: EMILY DANIELLE SHAW

MEDICARE:   EMILY DANIELLE 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
1106S00000XBehavior TechnicianBACB1438045TX

General Provider Information

NPI Number : 1770448052
Entity Type Code : Individual
Provider Name (Legal Business Name) : EMILY DANIELLE SHAW
Provider Business Mailing Address
First Line : 16114 CASTLEGROVE CT
Second Line :
City : TOMBALL
State : TX
Zip : 77377-8521
Country : US
Telephone Number : 281-205-2481
Fax Number :
Provider Business Practice Location Address
First Line : 14426 MEDICAL COMPLEX DR
Second Line :
City : TOMBALL
State : TX
Zip : 77377-6434
Country : US
Telephone Number : 281-205-2481
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/18/2025
Last Update Date : 12/18/2025

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Directions to “ EMILY DANIELLE SHAW ” Practice Location

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