Individual
BELLANICE MARIE SANTANA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
13523 PLAZA ROAD EXT, CHARLOTTE, NC 28215-8921
(980) 202-7428
Mailing address
13523 PLAZA ROAD EXT, CHARLOTTE, NC 28215-8921
(980) 202-7428
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
694
NC
106S00000X
Behavior Technician
—
—
Other
Enumeration date
09/06/2019
Last updated
12/19/2023
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