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144 Bayshore Dr Sneads Ferry NC 28460-9509 | |
| (760) 583-8015 | |
| Not Available |
| Full Name | |
|---|---|
| Speciality | Behavior Analyst |
| Location | 144 Bayshore Dr, Sneads Ferry, North Carolina |
| Authorized Official Name and Position | Lance Mcclanahan (OWNER) |
| Authorized Official Contact | 7605838015 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
144 Bayshore Dr Sneads Ferry NC 28460-9509 Ph: (760) 583-8015 | 144 Bayshore Dr Sneads Ferry NC 28460-9509 Ph: (760) 583-8015 |
| NPI Number | 1114737731 |
|---|---|
| Provider Enumeration Date | 01/08/2025 |
| Last Update Date | 01/08/2025 |
| Certification Date | 01/08/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114737731 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | (* (Not Available)) | Primary |
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