Individual
KERRIGAN MCCORMACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
815 OLD WINSTON RD, KERNERSVILLE, NC 27284-7124
(980) 785-1113
(980) 785-1114
Mailing address
823 NC HIGHWAY 801 S, ADVANCE, NC 27006-7804
(765) 437-8730
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-24-72928
NC
106S00000X
Behavior Technician
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—
Other
Enumeration date
09/04/2019
Last updated
05/24/2024
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