Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 103K00000X | Behavior Analyst | 1-20-46785 | NC |
N | 106E00000X | Assistant Behavior Analyst | 0-18-9441 | NC |
NPI | 1134723075 |
---|---|
Provider Name | Carla Sceiford |
First Address | Raleigh, NC 27615-1240 |
Second Address | Raleigh, NC 27603-1212 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 22/11/2020 |
Last Update Date | 12/02/2021 |