Shaw, Samantha
Shaw, Samantha is an sole proprietor health care provider with primary practice located at 35 Skyline Dr Ste 103 , Brigham City UT 84302-6773. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Social Worker, Behavioral Health & Social Service Providers / Behavior Technician. Behavioral Health & Social Service Providers / Social Worker is her primary health care specialty. Shaw, Samantha can be contacted via phone (801) 255-5131.Contact Information
Primary practice address
35 Skyline Dr Ste 103
Brigham City UT 84302-6773
Phone: (801) 255-5131
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Social Worker | 104100000X | 14267739-3502 | Utah |
| Behavioral Health & Social Service Providers / Behavior Technician | 106S00000X |
Profile Details
| NPI number | 1780317651 |
|---|---|
| LBN Legal business name | Shaw, Samantha |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 7th, 2022 |
| Last updated | Jan 28th, 2026 - about 9 months ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1780317651 | NPPES |
| Utah | Other | 1104119619 | BEHAVIOR TECH |
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