Individual
KIMBERLY LYNNE BALAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
ACES FOR AUTISM NC, 925 CONFERENCE DRIVE, GREENVILLE, NC 27858
(516) 225-5350
Mailing address
553 SHADOW RIDGE DR, WINTERVILLE, NC 28590-8566
(516) 225-5350
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-21-55156
NY
Other
Enumeration date
07/29/2022
Last updated
07/29/2022
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