Tiffany Shaw, BCBA

NPI 1518355296 · on the registry since 2015

Practice

Address: 4118 N Clinton St
Fort Wayne, IN 46805
Phone: (260) 373-1050
Fax: (260) 471-0285
Organisation at this address: Second Steps, Llc
Origins Developmental Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 9

Registry record

Primary taxonomy: 103K00000X
103K00000X
Licence states on file: IN
From the registry's licence fields, which are often incomplete.
Sex: Female
Record last updated: 2015-01-02

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Indiana