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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

BROOKLYN SHAW
NPI 1902596083
Behavior Analyst in Bloomington, IL

Active since May 11, 2023
1015 S MERCER AVE, BLOOMINGTON, IL 61701(844) 263-1613 Get Directions Write a Review

NPPES record last updated: September 28, 2026. Verified against the NPPES registry weekly; last sync: October 11, 2026.

Record update history: Sep 28, 2026, May 11, 2023 (2 updates tracked since 2023).

About Brooklyn Shaw NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BROOKLYN SHAW (NPI 1902596083) is an individual behavior analyst provider in Bloomington, Illinois and active in the NPI registry since May 2023.

NPPES Registry Identity

NPI1902596083
Entity TypeIndividualFemale
Primary Taxonomy103K00000X
Provider Legal NameBROOKLYN SHAW
Location Address1015 S MERCER AVEBloomington, IL 61701-7107
Mailing Address2550 N Hollywood Way Ste 301Burbank, CA 91505-5025 · (866) 727-8274
Phone(844) 263-1613
Sole ProprietorYes
Enumeration DateMay 11, 2023
Last NPPES UpdateSeptember 28, 20262 updates tracked since enumeration
NPPES CertifiedSeptember 28, 2026
✔ NPI 1902596083 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyBehavior AnalystBehavioral Health & Social Service Providers
Taxonomy Code103K00000X
Definition
A behavior analyst is qualified by at least a master's degree and Behavior Analyst Certification Board certification and/or a state-issued credential (such as a license) to practice behavior analysis independently. Behavior analysts provide the required supervision to assistant behavior analysts and behavior technicians. A behavior analyst delivers services consistent with the dimensions of applied behavior analysis. Common services may include, but are not limited to, conducting behavioral assessments, analyzing data, writing and revising behavior-analytic treatment plans, training others to implement components of treatment plans, and overseeing implementation of treatment plans.
1015 S MERCER AVE, Bloomington, IL 61701
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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

BETHANY JACKSON
Behavior Technician
1015 S MERCER AVE
BLOOMINGTON, IL 61701
McLean County (309) 663-0488
KAITLIN ROTHOLTZ
Behavior Technician
1015 S MERCER AVE
BLOOMINGTON, IL 61701
McLean County (844) 263-1613
MORGAN RIEBE
Behavior Technician
1015 S MERCER AVE
BLOOMINGTON, IL 61701
McLean County (844) 263-1613
MAKAYLEE JOHNSON
Behavior Technician
1015 S MERCER AVE
BLOOMINGTON, IL 61701
McLean County (866) 727-8274
DONNY BOUNDS RN
Registered Nurse
1015 S MERCER AVE
BLOOMINGTON, IL 61701
McLean County (309) 662-4321
MS. RACHEL A GAWTHORP RN
Registered Nurse
1015 S MERCER AVE
BLOOMINGTON, IL 61701
McLean County (309) 662-0088
HANNAH KEUN
Behavior Technician
1015 S MERCER AVE
BLOOMINGTON, IL 61701
McLean County (844) 263-1613
SENA NTUMY
Behavior Technician
1015 S MERCER AVE
BLOOMINGTON, IL 61701
McLean County (309) 663-0488

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Brooklyn Shaw's NPI number?

The NPI number for Brooklyn Shaw is 1902596083. It was assigned to this individual provider in the NPPES registry on May 11, 2023.

Where is Brooklyn Shaw located?

Brooklyn Shaw practices at 1015 S Mercer Ave, Bloomington, IL 61701. The listed phone number is (844) 263-1613.

What is Brooklyn Shaw's specialty?

The primary specialty registered for this NPI is Behavior Analyst with taxonomy code 103K00000X.

When was this NPI record last updated?

The NPPES record for Brooklyn Shaw was last updated on September 28, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.