Most Relevant Information
Provider Data
| NPI Number: | 1003499716 |
| Provider Name: | KATIE NICOLE BYARS |
| Entity Type: | Individual |
| Taxonomy Code: | 106S00000X |
| Specialty: | Behavior Technician |
| License Number: |
Most Important Dates
| Enumeration Date: | 04/30/2021 |
| Last Updated: | 09/19/2024 |
Provider Practice Location
10926 S TRYON ST STE E
CHARLOTTE
NC
282734154
Practice Location Phone/Fax
| Phone: | 8552015498 |
| Fax: | 8888494249 |
Provider Mailing Location
10926 S TRYON ST STE E
CHARLOTTE
NC
282734154
Provider Mailing Phone/Fax
| Phone: | 8552015498 |
| Fax: | 8888494249 |