Individual
MS. AUTIVIA SHANISE PERVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
525 N TRYON ST STE 1600, CHARLOTTE, NC 28202-0213
(919) 366-8684
Mailing address
4575 SE DIXIE HWY, STUART, FL 34997-6826
(185) 583-2672
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
NC
Other
Enumeration date
01/14/2026
Last updated
01/14/2026
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