Latara Shari Branch
Behavior Technician in Raeford, NC. Individual provider (NPI-1).
NPI number1164050720
StatusActive
Last updated in NPPESMar 30, 2020
Details
- NPI
- 1164050720
- Entity type
- Individual (NPI-1)
- Name
- Latara Shari Branch
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Mar 30, 2020
- Certification date
- Mar 30, 2020
- Last updated
- Mar 30, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 106S00000X | Behavior Technician | – | NC | Yes |
| 106S00000X | Behavior Technician | – | – |
Practice location
6223 Turnpike RdRaeford, NC 28376-7306
Phone 910-747-0337
Mailing address
111 Mackenan DrCary, NC 27511-7903
Phone 910-747-0337
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All 44 Behavior Technician providers in Raeford · All 825 providers in Raeford
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