Individual
CARLA ANN SIMON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
3904 OLEANDER DR STE 101, WILMINGTON, NC 28403-6735
(910) 313-3232
Mailing address
3315 JASPER PL, WILMINGTON, NC 28409-3694
(914) 236-9063
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-17-28990
NC
103K00000X
Behavior Analyst
288651
KY
103K00000X
Behavior Analyst
311
NC
103K00000X
Behavior Analyst
5854
TX
Other
Enumeration date
08/10/2017
Last updated
11/09/2023
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