Individual
SHANIA WAVERLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
310 BRATTON DR STE A, GARNER, NC 27529-7827
(919) 307-3550
Mailing address
310 BRATTON DR STE A, GARNER, NC 27529-7827
Taxonomy
Speciality
Code
Description
License number
State
106E00000X
Assistant Behavior Analyst
Primary
A1766
NC
106S00000X
Behavior Technician
—
—
Other
Enumeration date
02/08/2023
Last updated
04/23/2025
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