Active NPI
Ronald Shaw
- Behavior Technician
- Lauderdale Lakes, FL
National Provider Identifier
1306380597
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Technician
- License
- 000000
- Practice address
- 2690 Somerset Dr # Z-301
Lauderdale Lakes, FL 33311-9475 - Phone
- (443) 768-0083
- NPI assigned
- Dec 7, 2016
- Last updated
- Dec 7, 2016
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | 000000 | FL | Primary |
Addresses
Primary practice location
2690 Somerset Dr # Z-301
Lauderdale Lakes, FL 33311-9475
Mailing address
2690 Somerset Dr # Z-301
Lauderdale Lakes, FL 33311-9475
Phone (443) 768-0083
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 000000 | FL | MD | Physical Medicine & Rehabilitation Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1481068800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1481068800000",
"number": "1306380597",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2690 SOMERSET DR # Z-301",
"city": "LAUDERDALE LAKES",
"state": "FL",
"postal_code": "333119475",
"telephone_number": "443-768-0083"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2690 SOMERSET DR # Z-301",
"city": "LAUDERDALE LAKES",
"state": "FL",
"postal_code": "333119475",
"telephone_number": "443-768-0083"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHAW",
"first_name": "RONALD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2016-12-07",
"last_updated": "2016-12-07",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": "FL",
"license": "000000",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lauderdale Lakes, FL
- Ali P Shahriari, M.D.
- Shaly Robince Inc (Intercare Clinic)
- Robert Scott Sharek, O.D.
- Rachelle Jonique Sharp
- Patricia A Shaw
- Oded Shechter, MD
- Babak Sheikh, M.D.
- Sheridan Radiology Services of Central Florida, Inc.
- Sheridan Radiology Services of Kentucky, Inc
- Sheridan Radiology Services of Kentucky, Inc
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.