Individual
ANIKA MOODY-PROULX
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, BCBA, LBA
Contact information
Practice address
13310 S RIDGE DR, CHARLOTTE, NC 28273-4961
(704) 945-8009
Mailing address
13310 S RIDGE DR, CHARLOTTE, NC 28273-4961
(704) 945-8009
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
1584
NC
103K00000X
Behavior Analyst
Primary
—
NH
Other
Enumeration date
12/06/2023
Last updated
04/26/2024
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