Shape Empower Change

NPI #1518568351 in Cary, North Carolina

Provider Information

NPI Number: 1518568351
Entity Type: Organization
Organization Name: Shape Empower Change
Primary Specialty: Behavior Analyst
Enumeration Date: Nov 6, 2020
Last Updated: Nov 6, 2020

Practice Location

Address: 104 KRONOS LN
City: Cary
State: North Carolina
ZIP Code: 27513-5339
Phone: (203) 980-1534

Authorized Official

Name: SARA CARBONE, BCBA
Title: FOUNDER
Phone: (203) 980-1534

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Early Intervention Provider Agency	252Y00000X
Behavior Analyst	103K00000X	Primary

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