Individual
PETRISOR DAN SEVASTIAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
BCBA
Contact information
Practice address
606 E DAVIS ST, BURLINGTON, NC 27215-5922
(336) 513-8550
(743) 205-3533
Mailing address
PO BOX 749, BELMONT, NC 28012-0749
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1847
NC
Other
Enumeration date
08/01/2024
Last updated
08/01/2024
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