Organization
KINFOLK NC ABA LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ZISHE RUBIN (OWNER)
(917) 246-8382
Entity
Organization
Contact information
Practice address
301 S MCDOWELL ST STE 125-2049, CHARLOTTE, NC 28204-2623
(980) 249-4010
(980) 249-4011
Mailing address
301 S MCDOWELL ST STE 125-2049, CHARLOTTE, NC 28204-2623
(980) 249-4010
(980) 249-4011
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
106S00000X
Behavior Technician
—
—
251S00000X
Community/Behavioral Health Agency
—
—
Other
Enumeration date
04/08/2024
Last updated
07/31/2024
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