Individual
KEREN REYES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
525 N TRYON ST STE 1600, CHARLOTTE, NC 28202-0213
(336) 460-5004
Mailing address
4714 GREEN MOUNTAIN DR, CHARLOTTE, NC 28215-2267
(336) 460-5004
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
NC
Other
Enumeration date
06/18/2021
Last updated
09/29/2021
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