London Sheard, RBT
Behavior Technician in Surprise, AZ. Individual provider (NPI-1).
NPI number1457098535
StatusActive
Last updated in NPPESNov 13, 2023
Details
- NPI
- 1457098535
- Entity type
- Individual (NPI-1)
- Name
- London Sheard
- Credential
- RBT
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- May 19, 2022
- Certification date
- Nov 13, 2023
- Last updated
- Nov 13, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 106S00000X | Behavior Technician | RBT-22-213960 | AZ | Yes |
Practice location
14765 W Mountain View Blvd Ste 107Surprise, AZ 85374-2704
Phone 602-560-2836 · Fax 317-520-8200
Mailing address
14765 W Mountain View Blvd Ste 107Surprise, AZ 85374-2704
Phone 602-649-0245
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