Individual
DUSTIN TRIPP PARKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
525 N TRYON ST, CHARLOTTE, NC 28202-0202
(855) 832-6727
Mailing address
525 N TRYON ST, CHARLOTTE, NC 28202-0202
(855) 832-6727
Taxonomy
Speciality
Code
Description
License number
State
106E00000X
Assistant Behavior Analyst
Primary
BACB715721
NC
Other
Enumeration date
03/09/2023
Last updated
03/09/2023
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