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Individual

JENNIFER LONG

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
1401 E 7TH ST, CHARLOTTE, NC 28204-6300
(704) 780-4271
(888) 261-6694
Mailing address
2301 CROWNPOINT EXECUTIVE DR STE E, CHARLOTTE, NC 28227-6725
(704) 708-8314
(704) 708-8315

Taxonomy

Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
106S00000X
Behavior Technician
RBT-16-24034
NC

Other

Enumeration date
05/08/2018
Last updated
01/10/2020
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