Provider Demographics
NPI:1427745157
Name:FLUCKER, SHARON (EDD, BCBA)
Entity type:Individual
Prefix:DR
First Name:SHARON
Middle Name:
Last Name:FLUCKER
Suffix:
Gender:F
Credentials:EDD, BCBA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2001 WOODARD RD NW
Mailing Address - Street 2:
Mailing Address - City:SUPPLY
Mailing Address - State:NC
Mailing Address - Zip Code:28462-3720
Mailing Address - Country:US
Mailing Address - Phone:843-685-4884
Mailing Address - Fax:
Practice Address - Street 1:725 WELLINGTON AVE STE A
Practice Address - Street 2:
Practice Address - City:WILMINGTON
Practice Address - State:NC
Practice Address - Zip Code:28401-7665
Practice Address - Country:US
Practice Address - Phone:910-392-4881
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-04-21
Last Update Date:2023-04-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst