Individual
BONNIE Y ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5200 77 CENTER DR STE 130, CHARLOTTE, NC 28217-0742
(704) 910-2154
Mailing address
5200 77 CENTER DR STE 130, CHARLOTTE, NC 28217-0742
(704) 910-2154
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
NC
Other
Enumeration date
08/23/2018
Last updated
08/23/2018
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