Individual
CORRIN MCKENNA LAWTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
6583 BOB WHITE TRL, STANLEY, NC 28164-9797
(704) 703-8588
Mailing address
716 MARSH RD, CHARLOTTE, NC 28209-1851
(704) 522-9912
(704) 566-6050
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-23-64692
NC
106S00000X
Behavior Technician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
20-113992
—
NC
Enumeration date
03/11/2020
Last updated
03/10/2025
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