Most Relevant Information
Provider Data
| NPI Number: | 1003498122 |
| Provider Name: | KERRIE MARIE SELF RVT,RBT |
| Entity Type: | Individual |
| Taxonomy Code: | 103K00000X |
| Specialty: | Behavior Analyst |
| License Number: |
Most Important Dates
| Enumeration Date: | 04/27/2021 |
| Last Updated: | 04/27/2021 |
Provider Practice Location
910 E MAIN ST
LINCOLNTON
NC
280923449
Practice Location Phone/Fax
| Phone: | 7047480616 |
| Fax: |
Provider Mailing Location
1611 LARRY DAVIS RD
LAWNDALE
NC
280908419
Provider Mailing Phone/Fax
| Phone: | 8283083723 |
| Fax: |