Individual
SHELBY COLET LONG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
10962 DAVID TAYLOR DR, SUITE 120-101, CHARLOTTE, NC 28262
(980) 222-1868
Mailing address
624 SUNSET CIR, LANCASTER, SC 29720-2984
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-22-57669
NC
Other
Enumeration date
02/25/2019
Last updated
11/11/2025
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