Individual
FAITH ELIZABETH BRACKEN I
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1300 BAXTER ST STE 450&455, CHARLOTTE, NC 28204-3053
(704) 366-1075
Mailing address
9605 PRESTBURY BLVD APT 404, CHARLOTTE, NC 28216-3456
(540) 955-7164
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
NC
Other
Enumeration date
01/27/2026
Last updated
02/06/2026
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