Individual
DANIELLE BACALLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2200 E 7TH ST, CHARLOTTE, NC 28204-3340
(704) 780-4271
Mailing address
261 BUSINESS PARK BLVD APT 914, COLUMBIA, SC 29203-8915
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-20-43953
CO
Other
Enumeration date
06/11/2018
Last updated
08/05/2025
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