Organization
CLEMENTINE NORTH CAROLINA ABA LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AHARON GERSON (CHIEF FINANCIAL OFFICER)
(516) 510-5074
Entity
Organization
Contact information
Practice address
401 N TRYON ST, CHARLOTTE, NC 28202-2196
(888) 603-2536
Mailing address
401 N TRYON ST, CHARLOTTE, NC 28202-2196
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
03/17/2026
Last updated
03/17/2026
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