Shella West
Behavior Technician in Fayetteville, NC. Individual provider (NPI-1).
NPI number1063190890
StatusActive
Last updated in NPPESJul 11, 2023
Details
- NPI
- 1063190890
- Entity type
- Individual (NPI-1)
- Name
- Shella West
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Jul 11, 2023
- Certification date
- Jul 11, 2023
- Last updated
- Jul 11, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 106S00000X | Behavior Technician | RBT-23-283736 | NC | Yes |
Practice location
568 Sandhurst DrFayetteville, NC 28304-4426
Phone 910-484-1711
Mailing address
2919 Breezewood Ave Ste 101Fayetteville, NC 28303-5283
Phone 910-484-1711
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