Raisah Sheppard

NPI #1003402579 in Greensboro, North Carolina

Provider Information

NPI Number: 1003402579
Entity Type: Individual
Name: Raisah Sheppard
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Technician
Enumeration Date: Dec 17, 2020
Last Updated: Dec 17, 2020

Practice Location

Address: 111 POMONA DR STE G
City: Greensboro
State: North Carolina
ZIP Code: 27407-1636
Phone: (908) 546-8504

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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