Individual
MRS. AMY A GATCH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW, BCBA
Contact information
Practice address
2007 DATAW LN, INDIAN TRAIL, NC 28079-2680
(704) 661-7422
Mailing address
2007 DATAW LN, INDIAN TRAIL, NC 28079-2680
(704) 661-7422
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-09-5743
—
1041C0700X
Clinical Social Worker
C005035
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1-09-5743
BCBA
—
01
—
8863
LISW
SC
01
—
C005035
LCSW
NC
Enumeration date
02/20/2007
Last updated
11/13/2009
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