Individual
ANNA REEVES SHEPHERD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
5121 KINGDOM WAY STE 100, RALEIGH, NC 27607-6063
(800) 442-2762
Mailing address
178 KEITH WEATHERS RD, FUQUAY VARINA, NC 27526-7477
(336) 984-0607
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-20-41871
NC
Other
Enumeration date
06/17/2020
Last updated
06/02/2021
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