Shaw, Matavious

Shaw, Matavious is an sole proprietor health care provider with primary practice located at 6961 University Blvd , Winter Park FL 32792-6710. He recently has only one registered license in Behavioral Health & Social Service Providers / Behavior Technician, which is considered as his primary health care specialty. Shaw, Matavious can be contacted via phone (407) 543-8356.

Contact Information

Primary practice address
6961 University Blvd Winter Park FL 32792-6710
Phone: (407) 543-8356
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Behavior Technician 106S00000X

Profile Details

NPI number 1215535349
LBN Legal business name Shaw, Matavious
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 12th, 2020
Last updated Oct 12th, 2020 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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