Individual
ALIYAH ARCHIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1528 UNION RD, GASTONIA, NC 28054-2200
(803) 201-9397
Mailing address
733 YORKDALE DR, CHARLOTTE, NC 28217-3494
(803) 201-9397
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
04/02/2024
Last updated
04/02/2024
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