Search › Virginia › 103K00000X
Wesley Shaw, MAT, BCBA, LBA
NPI 1821459223 · on the registry since 2016 · sole proprietor
Practice
- Address
- 629 Phoenix Dr Ste 115
Virginia Beach, VA 23452 - Phone
- (757) 932-9057
- Fax
- (757) 743-9004
- Organisation at this address
- Source One Mobility, Inc
Sentara Therapy Solutions, Llc
Lumapaths Behavioral Services, Pllc.Inferred from a shared address, not stated in the registry. - Clinicians at this address
- 97
Registry record
- Primary taxonomy
- 103K00000X
103K00000X
- Also registered as
- 103K00000X
- Licence states on file
- CA, VA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2024-02-06
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 Virginia