| Kiwi Kids Nc Aba Llc | |
|
322 Lamar Ave Ste 107 Charlotte NC 28204-2436 | |
| (917) 846-6193 | |
| Not Available |
| Full Name | Kiwi Kids Nc Aba Llc |
|---|---|
| Speciality | Behavior Analyst |
| Location | 322 Lamar Ave Ste 107, Charlotte, North Carolina |
| Authorized Official Name and Position | Mordechai Cukier (OWNER) |
| Authorized Official Contact | 9178466193 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Kiwi Kids Nc Aba Llc 2302 Avenue N Brooklyn NY 11210-5117 Ph: (917) 846-6193 | Kiwi Kids Nc Aba Llc 322 Lamar Ave Ste 107 Charlotte NC 28204-2436 Ph: (917) 846-6193 |
| NPI Number | 1184462087 |
|---|---|
| Provider Enumeration Date | 07/16/2024 |
| Last Update Date | 07/16/2024 |
| Certification Date | 07/16/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1184462087 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | (* (Not Available)) | Primary |
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