Individual
AARIAN VALERY SOUTHIVONGNORATH
Active
Sole proprietor
No
Provider details
NPI number
Gender
X
Contact information
Practice address
111 MACKENAN DR, CARY, NC 27511-7903
(919) 371-2848
Mailing address
2751 JOHNNY REB LN, CHARLOTTE, NC 28273-3615
(704) 449-0964
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
10/22/2025
Last updated
10/22/2025
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