| Sunrise Aba Of North Carolina Llc | |
|
125 Remount Rd Ste 2075 Charlotte NC 28203-6458 | |
| (628) 250-7500 | |
| Not Available |
| Full Name | Sunrise Aba Of North Carolina Llc |
|---|---|
| Speciality | Behavior Analyst |
| Location | 125 Remount Rd Ste 2075, Charlotte, North Carolina |
| Authorized Official Name and Position | Brady Keith (DIRECTOR OF OPERATIONS) |
| Authorized Official Contact | 6282507500 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Sunrise Aba Of North Carolina Llc 505 San Marin Dr Ste 100b Novato CA 94945-1309 Ph: (628) 250-7500 | Sunrise Aba Of North Carolina Llc 125 Remount Rd Ste 2075 Charlotte NC 28203-6458 Ph: (628) 250-7500 |
| NPI Number | 1699403840 |
|---|---|
| Provider Enumeration Date | 08/15/2022 |
| Last Update Date | 08/15/2022 |
| Certification Date | 08/15/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1699403840 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | (* (Not Available)) | Primary |
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