Wilmer A Grullon-Salcedo
Behavior Technician in Charlotte, NC. Individual provider (NPI-1).
NPI number1417699331
StatusActive
Last updated in NPPESApr 11, 2022
Details
- NPI
- 1417699331
- Entity type
- Individual (NPI-1)
- Name
- Wilmer A Grullon-Salcedo
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Apr 11, 2022
- Certification date
- Apr 11, 2022
- Last updated
- Apr 11, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 106S00000X | Behavior Technician | – | – | Yes |
Practice location
1401 E 7th StCharlotte, NC 28204-6300
Phone 704-780-4271 · Fax 888-261-6694
Mailing address
1401 E 7th StCharlotte, NC 28204-6300
Phone 704-780-4271 · Fax 888-261-6694
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