Individual
KASSONDRA NICOLE PACKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BCABA
Contact information
Practice address
716 MARSH RD, CHARLOTTE, NC 28209-1851
(704) 522-9912
(704) 566-6050
Mailing address
716 MARSH RD, CHARLOTTE, NC 28209-1851
(704) 522-9912
(704) 566-6050
Taxonomy
Speciality
Code
Description
License number
State
106E00000X
Assistant Behavior Analyst
0-18-9222
FL
106E00000X
Assistant Behavior Analyst
Primary
0-18-9222
NC
Other
Enumeration date
07/19/2018
Last updated
04/24/2023
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