Individual
MARY ELIZABETH MINTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, BCBA
Contact information
Practice address
1835 DAVIE AVE STE 413, STATESVILLE, NC 28677-3578
(704) 572-3810
Mailing address
647 BRAWLEY SCHOOL RD #104, MOORESVILLE, NC 28117, MOORESVILLE, NC 28117-6876
(704) 703-8588
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-24-73157
—
Other
Enumeration date
08/19/2019
Last updated
07/14/2025
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