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Individual

CASEY PALMER TASKA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MED BCBA

Contact information

Practice address
111 LITTON ST, APEX, NC 27502-1229
(919) 260-1077
Mailing address
111 LITTON ST, APEX, NC 27502-1229
(919) 260-1077

Taxonomy

Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
1119731
103K00000X
Behavior Analyst
Primary
1581
NC

Other

Enumeration date
03/29/2012
Last updated
04/16/2024
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