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NPI Code Detail

MEDICARE: SHERRI MOULDER

MEDICARE: SHERRI MOULDER
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1106S00000XBehavior Technician

General Provider Information

NPI Number : 1750237475
Entity Type Code : Individual
Provider Name (Legal Business Name) : SHERRI MOULDER
Provider Business Mailing Address
First Line : 102 SUPERIOR DR
Second Line :
City : SPRING LAKE
State : NC
Zip : 28390-3190
Country : US
Telephone Number : 910-500-7880
Fax Number :
Provider Business Practice Location Address
First Line : 102 SUPERIOR DR
Second Line :
City : SPRING LAKE
State : NC
Zip : 28390-3190
Country : US
Telephone Number : 919-352-6172
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/05/2026
Last Update Date : 03/08/2026

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Directions to “ SHERRI MOULDER ” Practice Location

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