Individual
REBECCA SHAFER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BCAT
Contact information
Practice address
290 WEST EXCHANGE STREET, STE 101, PROVIDENCE, RI 02903
(401) 288-3634
Mailing address
21600 OXNARD ST STE 1800, WOODLAND HILLS, CA 91367-7807
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
02/08/2018
Last updated
02/08/2018
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