Rick Amos Shaw

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

1-04-1529

Practice address

2313 SW 339TH St
Federal Way, WA 98023-7730

Phone

(508) 981-3897

NPI assigned

Jan 6, 2009

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Behavior Issues

  • Community/Behavioral Health Agency
  • Federal Way, WA
  • NPI 1801290283
  NPD (past) Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1231200000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1231200000000",
    "number": "1154567550",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2313 SW 339TH ST",
            "city": "FEDERAL WAY",
            "state": "WA",
            "postal_code": "980237730",
            "telephone_number": "508-981-3897"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2313 SW 339TH ST",
            "city": "FEDERAL WAY",
            "state": "WA",
            "postal_code": "980237730",
            "telephone_number": "508-981-3897"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAW",
        "first_name": "RICK",
        "middle_name": "AMOS",
        "name_prefix": "Mr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-01-06",
        "last_updated": "2009-01-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": null,
            "license": "1-04-1529",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Neal Shah, PT
• M. Elizabeth Shanshala, PH.D
• Ajay J Sharma, MD
• Sharp Minds Behavioral Services
• Janel Shaw
• Dustin Lee Shawcross, MD
• SHC Services Inc.
• Susan Shear, SWAAL
• Douglas McAffee Sheets, D.D.S.
• Romana Shehzadi, MD

• Behavior Analyst in Federal Way, WA
• Providers in Federal Way, WA by specialty
• Behavior Analyst in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.