Organization
DISCOVERY ABA NC LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MARK ELIAS (CEO)
(704) 561-1143
Entity
Organization
Contact information
Practice address
901 W TRADE ST, CHARLOTTE, NC 28202-1143
(704) 561-1143
Mailing address
945 N CENTRAL AVE STE 201, WOODMERE, NY 11598-1604
(704) 561-1143
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
—
—
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
05/05/2021
Last updated
11/30/2021
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