MEDICARE: MS. PRIYA U SHAH

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

General Provider Information

NPI Number	:	1932042629
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. PRIYA U SHAH

Provider Business Mailing Address
First Line	:	3630 RIO RANCH RD
Second Line	:
City	:	CORONA
State	:	CA
Zip	:	92882-7966
Country	:	US
Telephone Number	:	951-317-2184
Fax Number	:

Provider Business Practice Location Address
First Line	:	3630 RIO RANCH RD
Second Line	:
City	:	CORONA
State	:	CA
Zip	:	92882-7966
Country	:	US
Telephone Number	:	951-317-2184
Fax Number	:

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

Provider Enumeration Date	:	04/09/2026
Last Update Date	:	04/09/2026

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Directions to “ MS. PRIYA U SHAH ” Practice Location

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