Individual
CAROLINA BETANCUR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
8420 UNIVERSITY EXEC PARK DR, CHARLOTTE, NC 28262-1344
(800) 442-2762
Mailing address
4009 CINDY WOODS LN, CHARLOTTE, NC 28216-3302
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
NC
Other
Enumeration date
08/30/2017
Last updated
08/30/2017
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