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Individual

BENJAMEN RUSSELL SHREWSBERRY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
BCBA

Contact information

Practice address
1936 HERITAGE BRANCH RD, WAKE FOREST, NC 27587-7061
(984) 326-7227
Mailing address
1936 HERITAGE BRANCH RD, WAKE FOREST, NC 27587-7061
(984) 326-7227

Taxonomy

Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
1-18-30603
CO
103K00000X
Behavior Analyst
1-18-30603
VA
103K00000X
Behavior Analyst
139
NC
103K00000X
Behavior Analyst
Primary
6578
TX

Other

Enumeration date
01/14/2017
Last updated
02/01/2024
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