Individual
KATELYN HANNIVAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3000 LATROBE DR STE B, CHARLOTTE, NC 28211-5227
(734) 756-1859
Mailing address
355 W MARTIN LUTHER KING BLVD APT 1906, CHARLOTTE, NC 28202-3076
(734) 756-1859
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
07/27/2016
Last updated
12/04/2020
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