Individual
INNA ALEX YAUROVA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2407 PLANTATION CENTER DR UNIT 100, MATTHEWS, NC 28105-5418
(704) 907-4811
Mailing address
6415 CONIFER CIR, INDIAN TRAIL, NC 28079-9539
(704) 907-4811
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-23-310851
NC
Other
Enumeration date
01/10/2024
Last updated
01/10/2024
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