Individual
GUADALUPE HERNANDEZ MANCILLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
11635 NORTHPARK DR STE 100, WAKE FOREST, NC 27587-9350
(980) 785-1113
(980) 785-1114
Mailing address
814 TYVOLA RD STE 126, CHARLOTTE, NC 28217-3539
(980) 785-1113
(980) 785-1114
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
06/25/2026
Last updated
06/25/2026
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