Individual
MARLYNN AISHA MOSS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
335 ARCHDALE DR, CHARLOTTE, NC 28217-4212
(888) 392-8642
Mailing address
7427 BALANCING ROCK CT, CHARLOTTE, NC 28262-4236
(704) 804-8763
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
106S00000X
Behavior Technician
RBT-21-165644
NC
Other
Enumeration date
01/06/2023
Last updated
07/09/2024
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