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Brooke Mary Way

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

NPI number1982183950
StatusActive
Last updated in NPPESJan 9, 2025

Details

NPI
1982183950
Entity type
Individual (NPI-1)
Name
Miss Brooke Mary Way
Sex
Female
Sole proprietor
No
Enumeration date
Aug 10, 2018
Certification date
Jan 9, 2025
Last updated
Jan 9, 2025

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
103K00000X Behavior Analyst––Yes
106S00000X Behavior Technician––
3747P1801X Technician, Personal Care Attendant––

Practice location

6634 Old Statesville Rd
Charlotte, NC 28269-6768

Phone 704-313-5874

Mailing address

6634 Old Statesville Rd
Charlotte, NC 28269-6768

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