Individual
SORAYA SHANUN KUNNAVATANA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD., BCBA-D
Contact information
Practice address
314 CHAPANOKE RD, RALEIGH, NC 27603-3400
(919) 773-2020
(919) 773-1044
Mailing address
314 CHAPANOKE RD, RALEIGH, NC 27603-3400
(919) 773-2020
(919) 773-1044
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-12-10045
NC
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
08/14/2007
Last updated
04/04/2019
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