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Individual

ANTHONY J DECANDIA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
RBT

Contact information

Practice address
4634 HARMONY LN, EFLAND, NC 27243-9456
(919) 742-0919
(919) 304-1100
Mailing address
4634 HARMONY LN, EFLAND, NC 27243-9456
(919) 742-0919

Taxonomy

Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
17-34380
NC

Other

Enumeration date
03/11/2020
Last updated
03/11/2020
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