Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 103K00000X | Behavior Analyst | 1-21-54955 | SC |
NPI | 1003499187 |
---|---|
Provider Name | Mrs. Hannah M Culpepper |
First Address | Catawba, SC 29704-9713 |
Second Address | Charlotte, NC 28273-4154 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 05/05/2021 |
Last Update Date | 02/11/2021 |