Individual
ITZEL SANTANA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
492 HARRIS DR, LINCOLNTON, NC 28092-9115
(704) 308-9813
Mailing address
492 HARRIS DR, LINCOLNTON, NC 28092-9115
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
000048632999
NC
Other
Enumeration date
12/11/2023
Last updated
12/11/2023
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