Individual
LONDON SHEARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RBT
Contact information
Practice address
14765 W MOUNTAIN VIEW BLVD STE 107, SURPRISE, AZ 85374-2704
(602) 560-2836
(317) 520-8200
Mailing address
14765 W MOUNTAIN VIEW BLVD STE 107, SURPRISE, AZ 85374-2704
(602) 649-0245
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-22-213960
AZ
Other
Enumeration date
05/19/2022
Last updated
11/13/2023
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