Individual
CASEY DUPART
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
111 MACKENAN DR, CARY, NC 27511-7903
(919) 371-2848
Mailing address
321 COLUMBIA PL E, CHAPEL HILL, NC 27516-2161
(410) 858-3104
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-14-9542
NC
Other
Enumeration date
03/13/2017
Last updated
03/13/2017
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