Individual
AYSHA MAE LONICH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
3739 NATIONAL DR STE 110, RALEIGH, NC 27612-4817
(919) 502-4109
Mailing address
1931 GOLDEN GLOBE DR, FUQUAY VARINA, NC 27526-4503
(724) 554-3801
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
103K00000X
Behavior Analyst
Primary
1-15-18610
—
Other
Enumeration date
05/21/2014
Last updated
02/12/2019
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