Individual
TRAVIS SEAN SHAFER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
102 SUPERIOR DR, SPRING LAKE, NC 28390-3190
(910) 484-1711
Mailing address
149 BROOKS MANGUM RD, CAMERON, NC 28326-8558
(808) 353-1777
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
106E00000X
Assistant Behavior Analyst
Primary
A3030
NC
106S00000X
Behavior Technician
BACB1013718
NC
Other
Enumeration date
12/28/2018
Last updated
07/30/2025
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