Individual
WISE SHAHID
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3000 HIGH GLEN DR APT F, CHARLOTTE, NC 28269-9741
(804) 610-5522
Mailing address
3000 HIGH GLEN DR APT F, CHARLOTTE, NC 28269-9741
(248) 256-5020
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
—
—
174400000X
Specialist
Primary
—
—
385HR2060X
Child Intellectual and/or Developmental Disabilities Respite Care
—
—
Other
Enumeration date
07/31/2024
Last updated
07/05/2026
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