Individual
MRS. GRACE MARTIN SIMUNEK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.ED, BCBA
Contact information
Practice address
4548 EMORY LN, CHARLOTTE, NC 28211-2435
(774) 930-9246
Mailing address
4548 EMORY LN, CHARLOTTE, NC 28211-2435
(774) 930-9246
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-14-15400
NC
Other
Enumeration date
06/30/2014
Last updated
02/02/2015
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