Individual
ABBY R ROTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.ED., BCBA
Contact information
Practice address
10926 S TRYON ST STE E, CHARLOTTE, NC 28273-4154
(855) 201-5498
Mailing address
10926 S TRYON ST STE E, CHARLOTTE, NC 28273-4154
(855) 201-5498
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
0133000606
VA
Other
Enumeration date
07/07/2015
Last updated
07/15/2019
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