Individual
ERIN MALLORY COLLINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, BCBA
Contact information
Practice address
925 CONFERENCE DR, GREENVILLE, NC 27858
(252) 689-6645
Mailing address
925 CONFERENCE DR, GREENVILLE, NC 27858-5971
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1245764927
TN
103K00000X
Behavior Analyst
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1-17-28216
BACB
—
Enumeration date
01/18/2018
Last updated
09/08/2019
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