Provider Demographics
NPI:1134723075
Name:SCEIFORD, CARLA (M ED, BCABA)
Entity type:Individual
Prefix:
First Name:CARLA
Middle Name:
Last Name:SCEIFORD
Suffix:
Gender:F
Credentials:M ED, BCABA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:701 PRESNELL CT
Mailing Address - Street 2:
Mailing Address - City:RALEIGH
Mailing Address - State:NC
Mailing Address - Zip Code:27615-1240
Mailing Address - Country:US
Mailing Address - Phone:984-202-6897
Mailing Address - Fax:
Practice Address - Street 1:410 N BOYLAN AVE
Practice Address - Street 2:
Practice Address - City:RALEIGH
Practice Address - State:NC
Practice Address - Zip Code:27603-1212
Practice Address - Country:US
Practice Address - Phone:984-202-6897
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-11-22
Last Update Date:2021-02-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC0-18-9441106E00000X
NC1-20-46785103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst
No106E00000XBehavioral Health & Social Service ProvidersAssistant Behavior Analyst