Individual
SHANYIA PENN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
10502 PARK RD STE 150, CHARLOTTE, NC 28210-8490
(336) 560-7878
(833) 772-8118
Mailing address
10502 PARK RD STE 150, CHARLOTTE, NC 28210-8490
(336) 560-7878
(833) 772-8118
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
10/20/2021
Last updated
05/30/2025
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