Individual
ASHTON TENNISON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3000 LATROBE DR, CHARLOTTE, NC 28211-5226
(704) 780-4271
(888) 261-6694
Mailing address
225 S POPLAR ST APT 2412, CHARLOTTE, NC 28202-0116
(405) 639-9211
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
04/07/2020
Last updated
04/07/2020
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