Individual
COREY SHARPE AKINS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
1401 E 7TH ST, CHARLOTTE, NC 28204
(704) 780-4271
Mailing address
1401 E 7TH ST, CHARLOTTE, NC 28204-6300
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-17-28647
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1922523646
—
NC
Enumeration date
08/03/2017
Last updated
01/03/2019
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