Individual
CATHERINE DEBRODER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
804 W BANK ST, WINSTON SALEM, NC 27101-5126
(336) 416-8266
Mailing address
15 SOUTH ST, HUDSON, MA 01749-2205
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1466
NC
252Y00000X
Early Intervention Provider Agency
—
—
Other
Enumeration date
11/06/2014
Last updated
09/09/2024
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