Individual
MADISEN JOY DITARANTO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
852 PERRY RD, APEX, NC 27502-7701
(704) 915-9190
Mailing address
341 OAK BRANCH LN, SANFORD, NC 27330-1070
(910) 725-8857
Taxonomy
Speciality
Code
Description
License number
State
106E00000X
Assistant Behavior Analyst
Primary
—
—
Other
Enumeration date
05/06/2024
Last updated
05/06/2024
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