Individual
BIANCA BERNAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1504 ARDEN AVE, KANNAPOLIS, NC 28081-7510
(980) 622-0187
Mailing address
1504 ARDEN AVE, KANNAPOLIS, NC 28081-7510
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-21-154952
NC
Other
Enumeration date
06/03/2024
Last updated
06/03/2024
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