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Alexandra Dawn Aycock

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

NPI number1982243002
StatusActive
Last updated in NPPESOct 4, 2021

Details

NPI
1982243002
Entity type
Individual (NPI-1)
Name
Alexandra Dawn Aycock
Sex
Female
Sole proprietor
No
Enumeration date
Jan 6, 2020
Certification date
Sep 29, 2021
Last updated
Oct 4, 2021

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
106S00000X Behavior Technician––Yes

Practice location

10926 S Tryon St Ste E
Charlotte, NC 28273-4154

Phone 855-201-5498

Mailing address

10926 S Tryon St Ste E
Charlotte, NC 28273-4154

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