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Individual

COURTNEY NEEPER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
9305 MONROE RD STE L, CHARLOTTE, NC 28270
(980) 819-0010
Mailing address
13605 HAVEN RIDGE LN UNIT 302, CHARLOTTE, NC 28215-7839
(360) 649-8867

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
CG60337408
WA
103K00000X
Behavior Analyst
Primary
106S00000X
Behavior Technician

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
910575956
WA
Enumeration date
12/15/2015
Last updated
11/12/2019
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