Individual
CHARLES HOOKER SHEPHERD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
339 E EVERETT PL, ORANGE, CA 92867-6707
(860) 460-4300
Mailing address
339 E EVERETT PL, ORANGE, CA 92867-6707
(860) 460-4300
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
07/18/2023
Last updated
07/18/2023
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