Individual
SHAINA RAE SYPHERTT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3200 MITCHUM LN, SUMTER, SC 29154-6093
(803) 847-9220
Mailing address
3200 MITCHUM LN, SUMTER, SC 29154-6093
(803) 847-9220
Taxonomy
Speciality
Code
Description
License number
State
106E00000X
Assistant Behavior Analyst
Primary
—
—
Other
Enumeration date
03/21/2023
Last updated
03/27/2023
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