Individual
SHANIYA FAUCETTE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
905 FRIEDBERG CHURCH RD, WINSTON SALEM, NC 27127-9803
(336) 251-1180
Mailing address
1324 BEAUFORT DR, GRAHAM, NC 27253-3635
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
06/30/2023
Last updated
06/30/2023
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