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Organization
SUNRISE ABA OF NORTH CAROLINA LLC
Active
Organization
SUNRISE ABA OF NORTH CAROLINA LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRADY KEITH (DIRECTOR OF OPERATIONS)
(628) 250-7500
Entity
Organization
Contact information
Practice address
125 REMOUNT RD STE 2075, CHARLOTTE, NC 28203-6458
(628) 250-7500
Mailing address
505 SAN MARIN DR STE 100B, NOVATO, CA 94945-1309
(628) 250-7500
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
08/15/2022
Last updated
08/15/2022
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