IndividualActive
Alexis Shaw
NPI 1841766342 · Developmental Therapist · Richton Park, IL
Provider details
- NPI number
- 1841766342
- Entity type
- Individual
- Primary specialty
- Developmental TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Sex
- Female
- Sole proprietor
- No
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
- Behavior Technician106S00000X
Behavioral Health & Social Service Providers
Practice location
4989 Meadow Lake Dr
Richton Park, IL 60471-1188
Phone: (708) 518-2960
Approximate (ZIP-level) locationGet directions
Mailing address
4989 Meadow Lake Dr
Richton Park, IL 60471-1188
Registry dates
- Enumerated
- 2018-10-23
- Last updated
- 2019-09-13
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.