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Individual

CHARLIE ALICIA QUILES

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
3904 OLEANDER DR STE 102, WILMINGTON, NC 28403-6735
(910) 313-3232
Mailing address
415 PHEASANT CT, WILMINGTON, NC 28403-2865
(910) 548-0842

Taxonomy

Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
106S00000X
Behavior Technician

Other

Enumeration date
06/11/2018
Last updated
05/11/2021
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