Individual
NOAH PERALES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
COTA/L
Contact information
Practice address
5113 PIPER STATION DR STE 103, CHARLOTTE, NC 28277-6690
(704) 327-6472
Mailing address
5113 PIPER STATION DR STE 103, CHARLOTTE, NC 28277-6690
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
—
—
106S00000X
Behavior Technician
Primary
—
—
224Z00000X
Occupational Therapy Assistant
Primary
—
—
Other
Enumeration date
11/19/2018
Last updated
08/05/2026
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