Individual
MAXWELL BLACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3628 26TH STREET DR NE, HICKORY, NC 28601-7206
(828) 222-3736
Mailing address
3628 26TH STREET DR NE, HICKORY, NC 28601-7206
(828) 222-3736
Taxonomy
Speciality
Code
Description
License number
State
106E00000X
Assistant Behavior Analyst
Primary
—
—
Other
Enumeration date
08/11/2025
Last updated
08/11/2025
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