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Individual

ANJUM SHAFIULLAHKHAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
1000 PARK FORTY PLZ STE 110, DURHAM, NC 27713-5249
(919) 480-2800
Mailing address
5528 TEVERSHAM WAY, CARY, NC 27519-5229
(919) 434-1127

Taxonomy

Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-26-522081
NC

Other

Enumeration date
04/08/2026
Last updated
04/14/2026
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