Individual
MANDY SCEPANIAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
8374 SIX FORKS RD, RALEIGH, NC 27615-5096
(919) 890-5852
Mailing address
8374 SIX FORKS RD, RALEIGH, NC 27615-5096
(919) 890-5852
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
6801096467
MASTERS OF SOCIAL WORK
MI
01
—
C010273
LICENSED CLINICAL SOCIAL WORKER
NC
Enumeration date
03/25/2016
Last updated
10/25/2016
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