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Individual

MARK ALEXANDER FOGLEMAN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
BCBA

Contact information

Practice address
3000 LATROBE DR, CHARLOTTE, NC 28211-5226
(336) 261-8649
Mailing address
3306 EASTOVER RIDGE DR APT 333, CHARLOTTE, NC 28211-1481
(336) 261-8649

Taxonomy

Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
12149365
NC
106S00000X
Behavior Technician

Other

Enumeration date
10/29/2018
Last updated
04/26/2021
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