Individual
DEANNA L MAZZULLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2329 E WT HARRIS BLVD, CHARLOTTE, NC 28213-5186
(704) 529-9090
(704) 529-9009
Mailing address
2329 E WT HARRIS BLVD, CHARLOTTE, NC 28213-5186
(704) 529-9090
(704) 529-9009
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-24-70764
VA
103K00000X
Behavior Analyst
Primary
1-24-70764
—
106S00000X
Behavior Technician
RBT-19-80327
CO
Other
Enumeration date
03/05/2019
Last updated
06/04/2026
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