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Latisha Marie Gary, BCBA

Behavior Analyst in Charlotte, NC. Individual provider (NPI-1).

NPI number1982118311
StatusActive
Last updated in NPPESNov 12, 2023

Details

NPI
1982118311
Entity type
Individual (NPI-1)
Name
Latisha Marie Gary
Credential
BCBA
Sex
Female
Sole proprietor
Yes
Enumeration date
Nov 21, 2017
Certification date
Nov 12, 2023
Last updated
Nov 12, 2023

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
103K00000X Behavior Analyst1-21-49048NCYes

Practice location

8530 Cliff Cameron Dr Ste 140
Charlotte, NC 28269-5906

Phone 980-202-7441

Mailing address

8530 Cliff Cameron Dr Ste 140
Charlotte, NC 28269-5906

Other practice locations

111 Mackenan Dr
Cary, NC 27511-7903

Phone 919-230-7790

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