Individual
ELIZABETH MARIE BEACHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1300 BAXTER ST, CHARLOTTE, NC 28204-3053
(704) 366-1075
Mailing address
1300 BAXTER ST, CHARLOTTE, NC 28204-3053
(336) 560-7878
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
2896
NC
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
12/13/2023
Last updated
04/21/2026
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