Individuals that have taken a reflexology class in one or two days are not qualified to call themselves a reflexologist. When you are searching for a reflexologist you should inquire about their education and training. Reflexologists practicing in North Carolina have to be National Board Certified Reflexologists (NBCR). The American Reflexology Certification Board (ARCB) offers the opportunity for eligible applicants to take the national board exam, a 300-question written exam based on psychometric standards, a hands-on practical and the submission of documented sessions. Upon successfully completing the national exam, the reflexologist would earn the designation of National Board Certified Reflexologist (NBCR).