Individual
SHYDAE LATRIESE LINDSEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1701 CENTER ST, APEX, NC 27502-7026
(984) 246-9080
(984) 464-2242
Mailing address
PO BOX 749, BELMONT, NC 28012-0749
(704) 869-2088
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
3383
NC
106S00000X
Behavior Technician
—
—
Other
Enumeration date
11/22/2020
Last updated
11/05/2025
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