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Individual

CHERISY LYNN SHOWALTER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
BCBA, LBA

Contact information

Practice address
2919 BREEZEWOOD AVE STE 100, FAYETTEVILLE, NC 28303-5283
(910) 484-1711
Mailing address
860 SATINWOOD CT, FAYETTEVILLE, NC 28312-8110
(910) 729-9835

Taxonomy

Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
166
NC
103K00000X
Behavior Analyst
Primary

Other

Enumeration date
12/30/2019
Last updated
02/22/2024
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