Individual
STEPHANIE CLEMENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, BCBA
Contact information
Practice address
3820 RANDOLPH HEIGHTS DR, CHARLOTTE, NC 28205-7566
(201) 889-6299
Mailing address
526 ASHWORTH RD, CHARLOTTE, NC 28211-1212
(201) 889-6299
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
466
NC
Other
Enumeration date
04/06/2011
Last updated
04/09/2024
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