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Amanda Shaw
Licensed Psychiatric Technician in Fontana, California
NPI 1336876523

Amanda Shaw is a Licensed Psychiatric Technician based in Fontana, CA. Amanda Shaw practices in Fontana, CA. The NPI Number for Amanda Shaw is 1336876523 and holds a License No. (California).

The current practice location address for Amanda Shaw is 15217 San Bernardino Ave, Fontana, CA and can be reached out via phone at 951-643-2150.

Location: 15217 San Bernardino Ave, Fontana, CA, 92335-5327
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1336876523
Provider Name
Amanda Shaw
Credential
Provider Entity Type
Individual
Gender
Female
Address
15217 San Bernardino Ave, Fontana, CA, 92335-5327
Phone Number
951-643-2150
Fax Number
Provider Enumeration Date
08/06/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
15217 San Bernardino Ave
City
Fontana
State
California
Zip
92335-5327
Phone Number
951-643-2150
Fax Number
person
Provider Business Mailing Address Details
Address
15217 San Bernardino Ave
City
Fontana
State
California
Zip
92335-5327
Phone Number
951-643-2150
Fax Number
person
Provider's Taxonomy Details 1
Type
Nursing Service Providers
Classification
Licensed Psychiatric Technician
Speciality
-
Taxonomy
167G00000X
License No.
(California)
Definition
An individual licensed by the state board as a Psychiatric Technician based upon completion of a prescribed course of theory and clinical practice, with two thirds of the clinical practice time focused on mental and developmental disorders. The psychiatric technician practices under the direct supervision of a physician, psychologist, registered nurse or other professional to provide care to patients with mental disorders and developmental disabilities.
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