Individual
JONATHAN ROLAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
BCBA
Contact information
Practice address
13310 S RIDGE DR, CHARLOTTE, NC 28273-4961
(781) 805-5119
Mailing address
12521 CROWN PARK CT APT 102, CHARLOTTE, NC 28273-7461
(781) 805-5119
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110026265E
—
MA
Enumeration date
03/31/2020
Last updated
06/19/2024
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