IndividualActive
Kelly Shaw
NPI 1336955012 · Behavior Technician · Riverbank, CA
Kelly Shaw is a Behavior Technician provider in Riverbank, CA (NPI 1336955012).
Provider details
- NPI number
- 1336955012
- Entity type
- Individual
- Primary specialty
- Behavior TechnicianBehavioral Health & Social Service Providers
- Sex
- Female
- Sole proprietor
- No
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
Basic profile(49/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
1 yr in NPPES registry
- Profile completeness38% of score
83% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
5501 Antique Rose Way
Riverbank, CA 95367-9505
Phone: (866) 523-4268
Street-level locationGet directions
Mailing address
850 Towbin Ave
Lakewood, NJ 08701-5928
Registry dates
- Enumerated
- 2024-12-06
- Last updated
- 2024-12-06
- Certified
- 2024-12-06
Frequently asked questions
- What is Kelly Shaw's NPI number?
- Kelly Shaw's National Provider Identifier (NPI) is 1336955012, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Kelly Shaw's specialty?
- Kelly Shaw is listed in the NPPES registry with a primary specialty of Behavior Technician (Behavioral Health & Social Service Providers).
- Where is Kelly Shaw located?
- Kelly Shaw's practice location on file with NPPES is 5501 Antique Rose Way, Riverbank, CA 95367-9505.
- What is Kelly Shaw's phone number?
- The practice phone number listed in the NPPES registry for Kelly Shaw is (866) 523-4268.
- Is Kelly Shaw's NPI active?
- Yes — Kelly Shaw's NPI (1336955012) is active in the NPPES registry as of the last update on 2024-12-06.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.