Individual
KAMERON RICKARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
10502 PARK RD STE 150, CHARLOTTE, NC 28210-8490
(336) 560-7878
Mailing address
8311 BRIER CREEK PKWY STE 105-501, RALEIGH, NC 27617-7328
(336) 560-7878
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-24-71737
NC
106S00000X
Behavior Technician
RBT-19-98724
NC
Other
Enumeration date
10/28/2019
Last updated
03/25/2024
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