Individual
HOLLI SUZANNE SHEPARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
10926 S TRYON ST STE E, CHARLOTTE, NC 28273-4154
(855) 201-5498
Mailing address
10926 S TRYON ST STE E, CHARLOTTE, NC 28273-4154
(855) 201-5498
(888) 849-4249
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
106S00000X
Behavior Technician
—
—
Other
Enumeration date
10/29/2018
Last updated
04/19/2024
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