Individual
ETHAN HARRELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1240 BOB FALLS DR, SHELBY, NC 28150-9441
(704) 524-8530
Mailing address
1240 BOB FALLS DR, SHELBY, NC 28150-9441
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
01/06/2025
Last updated
01/06/2025
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