Wesley Lewis Shaw, MAT, BCBA, LBA

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

0133000525 Issued in VA

Practice address

629 Phoenix Dr Ste 115
Virginia Beach, VA 23452-7392

Phone

(757) 932-9057

Fax

(757) 743-9004

NPI assigned

Mar 11, 2016

Last updated

Feb 6, 2024By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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

• Lumapaths Behavioral Services, PLLC.

  • Behavior Analyst
  • Virginia Beach, VA
  • NPI 1710348339
  NPD Authorized official

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

{
    "created_epoch": "1457654400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707177600000",
    "number": "1821459223",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "629 PHOENIX DR STE 115",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234527392",
            "telephone_number": "757-932-7598",
            "fax_number": "757-743-9004"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "629 PHOENIX DR STE 115",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234527392",
            "telephone_number": "757-932-9057",
            "fax_number": "757-743-9004"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAW",
        "first_name": "WESLEY",
        "middle_name": "LEWIS",
        "name_prefix": "Mr.",
        "credential": "MAT, BCBA, LBA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-03-11",
        "last_updated": "2024-02-06",
        "certification_date": "2024-02-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "CA",
            "license": "1-14-16425",
            "primary": false
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "VA",
            "license": "0133000525",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sarah C Shaves, MD
• Amelia Markert Shaw, LCSW
• Amy Shaw
• Jacqueline Anjanette Shaw, M.A.T., BCBA, LBA
• Parker Shaw, RBT
• Jennifer Shea, COTA/L
• Melissa Tignor Shearer, FNP-C
• Amy Shecterle, M.S., CCC-SLP
• Lori Shedlock, COTA/L
• Alexia Sheehan

• Behavior Analyst in Virginia Beach, VA
• Providers in Virginia Beach, VA by specialty
• Behavior Analyst in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2024; 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.