Individual
EKATERINA BLANCO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
3950 CLEMMONS RD, CLEMMONS, NC 27012-8479
(252) 751-0518
(252) 565-4505
Mailing address
3851 DUNHAGAN RD STE 102, GREENVILLE, NC 27858-6640
(252) 751-0518
(305) 846-9711
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
05/18/2012
Last updated
04/10/2024
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