Most Relevant Information
Provider Data
| NPI Number: | 1003565763 |
| Provider Name: | CIARA T VAN DE MERLEN |
| Entity Type: | Individual |
| Taxonomy Code: | 106S00000X |
| Specialty: | Behavior Technician |
| License Number: |
Most Important Dates
| Enumeration Date: | 03/21/2022 |
| Last Updated: | 07/11/2024 |
Provider Practice Location
1401 E 7TH ST
CHARLOTTE
NC
282046300
Practice Location Phone/Fax
| Phone: | 7047804271 |
| Fax: | 8882616694 |
Provider Mailing Location
10130 MALLARD CREEK RD
CHARLOTTE
NC
282626000
Provider Mailing Phone/Fax
| Phone: | 7049443533 |
| Fax: | 8882616694 |