Individual
MRS. LISA MICHELLE DHIRAPRASIDDHI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
8390 SIX FORKS RD STE 201, RALEIGH, NC 27615-3060
(919) 890-5852
(919) 896-6443
Mailing address
8390 SIX FORKS RD STE 201, RALEIGH, NC 27615-3060
(919) 890-5852
(919) 896-6443
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-15-20933
TX
Other
Enumeration date
02/02/2017
Last updated
09/17/2020
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