Individual
SAM SEBASTIAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
BCBA
Contact information
Practice address
16409 NORTHCROSS DR, HUNTERSVILLE, NC 28078-5065
(980) 441-8200
Mailing address
PO BOX 749, BELMONT, NC 28012-0749
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-22-60170
NC
Other
Enumeration date
03/07/2023
Last updated
09/19/2024
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