Organization
MASTER IT ABA THERAPY OF NORTH CAROLINA LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHANA KOLKO (ADMINISTRATOR)
(833) 653-1800
Entity
Organization
Contact information
Practice address
1515 MOCKINGBIRD LN STE 420, CHARLOTTE, NC 28209-3236
(833) 653-1800
Mailing address
1515 MOCKINGBIRD LN STE 420, CHARLOTTE, NC 28209-3236
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
—
—
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
12/13/2023
Last updated
10/09/2024
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