Individual provider · NPI-1
Sheri Coughlin, RBT
Behavior Technician · Charlotte, NC
NPI number1861023608
StatusActive
Last updated in NPPESJan 17, 2022
Details
- NPI
- 1861023608
- Entity type
- Individual (NPI-1)
- Name
- Sheri Coughlin
- Credential
- RBT
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jan 30, 2020
- Certification date
- Jan 17, 2022
- Last updated
- Jan 17, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 106S00000X | Behavior Technician | – | SC | Yes |
| 222Q00000X | Developmental Therapist | – | SC | |
| 222Q00000X | Developmental Therapist | – | – |
Practice location
10926 S Tryon St Ste ECharlotte, NC 28273-4154
Phone 855-201-5498
Mailing address
10926 S Tryon St Ste ECharlotte, NC 28273-4154
Phone 855-201-5498
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