Individual
NATHIAS RAY MANSEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
900 BRANCHVIEW DR NE, CONCORD, NC 28025-2213
(980) 354-1375
Mailing address
1322 LILY GREEN CT NW, CONCORD, NC 28027-2304
(980) 354-1375
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
878
NC
106S00000X
Behavior Technician
—
—
Other
Enumeration date
09/13/2018
Last updated
08/22/2024
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