Individual
CHAD BOGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2711 RANDOLPH RD STE 100, CHARLOTTE, NC 28207-2027
(704) 780-4271
Mailing address
2506 MCCLINTOCK RD UNIT 200, CHARLOTTE, NC 28205-5253
(701) 715-0118
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
03/27/2021
Last updated
03/27/2021
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