Most Relevant Information
Provider Data
| NPI Number: | 1003463670 |
| Provider Name: | MARY ELIZABETH MINTON MS, BCBA |
| Entity Type: | Individual |
| Taxonomy Code: | 103K00000X |
| Specialty: | Behavior Analyst |
| License Number: | 1-24-73157 |
Most Important Dates
| Enumeration Date: | 08/19/2019 |
| Last Updated: | 08/15/2024 |
Provider Practice Location
1835 DAVIE AVE STE 413
STATESVILLE
NC
286773578
Practice Location Phone/Fax
| Phone: | 7045723810 |
| Fax: |
Provider Mailing Location
647 BRAWLEY SCHOOL RD #104, MOORESVILLE, NC 28117
MOORESVILLE
NC
281176876
Provider Mailing Phone/Fax
| Phone: | 7047038588 |
| Fax: |