Organization
ACT BEHAVIOR CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. SHADEN KASSAR (BCBA)
(630) 631-9623
Entity
Organization
Contact information
Practice address
2464 SUSIE BRUMLEY PL NW, CONCORD, NC 28027-3313
(630) 631-9623
Mailing address
2464 SUSIE BRUMLEY PL NW, CONCORD, NC 28027-3313
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
08/12/2024
Last updated
08/12/2024
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