Latara Shari Branch
Individual provider Active NPI Behavior Technician · Raeford, NC
NPI 1164050720 · NPPES record last updated Mar 30, 2020
Key facts
- NPI
- 1164050720
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Behavior Technician 106S00000X
- Practice address
- 6223 Turnpike Rd
Raeford, NC 28376-7306 - Phone
- (910) 747-0337
- NPI assigned
- Mar 30, 2020
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | |||
| Behavior Technician |
106S00000X | NC | Yes |
Addresses
Primary practice location
6223 Turnpike Rd
Raeford, NC 28376-7306
Mailing address
111 Mackenan Dr
Cary, NC 27511-7903
Phone (910) 747-0337
Other providers in Raeford, NC
- Jennifer Picerno Bowyer
- Amanda E Boyett
- Daryl Bradley
- Purpose Shari Bradley
- Jason Branch
- Adriana Brayboy
- Tiara N Brewster
- Jameeka Marie Bridgeman
- Brighter Future Home
- Brighter Futures Therapy Services, LLC
All providers in Raeford, NC · Behavior Technician in North Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 30, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.