Individual
SHANNON DOBSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
1405 S BROAD ST, WINSTON SALEM, NC 27127-2068
(855) 772-8847
Mailing address
1405 S BROAD ST, WINSTON SALEM, NC 27127-2068
(855) 772-8847
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
12471805
NC
Other
Enumeration date
07/18/2024
Last updated
03/18/2026
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