Individual
SHEENA NOLLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RBT
Contact information
Practice address
817 ROGERS DR, MYRTLE BEACH, SC 29577-4232
(843) 222-7019
Mailing address
817 ROGERS DR, MYRTLE BEACH, SC 29577-4232
(843) 222-7019
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-19-99915
NC
Other
Enumeration date
11/08/2019
Last updated
11/08/2019
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