Individual
SHIRLEY ANN RIDDLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
10926 S TRYON ST STE E, CHARLOTTE, NC 28273-4154
(910) 508-7935
Mailing address
10926 S TRYON ST STE E, CHARLOTTE, NC 28273-4154
(910) 508-7935
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-22-57459
NC
106E00000X
Assistant Behavior Analyst
0-18-9120
NC
106S00000X
Behavior Technician
—
—
Other
Enumeration date
02/10/2017
Last updated
09/11/2022
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