Individual
AMELIA DIVINE
Active
Sole proprietor
No
Provider details
NPI number
Gender
X
Contact information
Practice address
2331 CROWNPOINT EXECUTIVE DR STE J, CHARLOTTE, NC 28227-7749
(704) 799-6824
Mailing address
2331 CROWNPOINT EXECUTIVE DR STE J, CHARLOTTE, NC 28227-7749
(704) 799-6824
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
08/10/2026
Last updated
08/10/2026
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