Individual
KAJUAN SUPEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.A, BCBA, LBA
Contact information
Practice address
925 CONFERENCE DR, GREENVILLE, NC 27858-5971
(252) 689-6645
Mailing address
925 CONFERENCE DR, GREENVILLE, NC 27858-5971
(252) 689-6645
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-25-85012
NC
Other
Enumeration date
01/06/2021
Last updated
11/05/2025
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