Advanced Autism Services Nc Llc | |
10130 Perimeter Pkwy Ste 200 Charlotte NC 28216-0197 | |
(602) 584-9860 | |
Not Available |
Full Name | Advanced Autism Services Nc Llc |
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Speciality | Behavior Analyst |
Location | 10130 Perimeter Pkwy Ste 200, Charlotte, North Carolina |
Authorized Official Name and Position | Malkie H (DIRECTOR) |
Authorized Official Contact | 6025849860 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Advanced Autism Services Nc Llc Po Box 1335 Lakewood NJ 08701-1011 Ph: () - | Advanced Autism Services Nc Llc 10130 Perimeter Pkwy Ste 200 Charlotte NC 28216-0197 Ph: (602) 584-9860 |
NPI Number | 1750118980 |
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Provider Enumeration Date | 09/19/2024 |
Last Update Date | 09/19/2024 |
Certification Date | 09/19/2024 |
Identifier | Type | State | Issuer |
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1750118980 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
103K00000X | Behavior Analyst | (* (Not Available)) | Primary |
106S00000X | Behavior Technician | (* (Not Available)) | Secondary |
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