Individual
DAYTONA FAX
Active
Sole proprietor
No
Provider details
NPI number
Gender
X
Contact information
Practice address
10320 MALLARD CREEK RD STE 150, CHARLOTTE, NC 28262-5200
(704) 799-6827
Mailing address
8611 ASHLEY HILL CT APT F, CHARLOTTE, NC 28262-1753
(302) 275-0227
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
04/08/2026
Last updated
04/08/2026
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