Individual
MISS KATELYN MARIE RASPANTI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA, BCBA, LBA
Contact information
Practice address
1959 N PEACE HAVEN RD STE 104, WINSTON SALEM, NC 27106-4850
(336) 560-7878
Mailing address
1959 N PEACE HAVEN RD STE 104, WINSTON SALEM, NC 27106-4850
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-19-40179
NC
Other
Enumeration date
06/20/2019
Last updated
01/08/2024
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