| Blue Ridge Behavior Systems Inc | |
|
16147 Lancaster Hwy Ste 110 Charlotte NC 28277-4196 | |
| (704) 540-4291 | |
| (704) 541-0319 |
| Full Name | Blue Ridge Behavior Systems Inc |
|---|---|
| Speciality | Psychologist |
| Location | 16147 Lancaster Hwy Ste 110, Charlotte, North Carolina |
| Authorized Official Name and Position | William Michael Tyson (PSYCHOLOGIST) |
| Authorized Official Contact | 7045404291 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Blue Ridge Behavior Systems Inc 16426 Hawfield Woods Ln Charlotte NC 28277-6108 Ph: (704) 540-4291 | Blue Ridge Behavior Systems Inc 16147 Lancaster Hwy Ste 110 Charlotte NC 28277-4196 Ph: (704) 540-4291 |
| NPI Number | 1720698939 |
|---|---|
| Provider Enumeration Date | 08/03/2020 |
| Last Update Date | 08/03/2020 |
| Certification Date | 08/03/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1720698939 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | (* (Not Available)) | Primary |
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