Healthcare Provider Details

I. General information

NPI: 1740753540
Provider Name (Legal Business Name): MR. DAMON DAY
Entity Type: Individual
Gender: Male
Sole Proprietor: N

Provider Other Name: MR. DAMON DAY

II. Dates (important events)

Enumeration Date: 01/04/2019
Last Update Date: 07/28/2026
Certification Date: 07/28/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7629 TIMBER RIDGE DR
MINT HILL NC
28227-5253
US

IV. Provider business mailing address

2301 TANFIELD DR
MATTHEWS NC
28105-0814
US

V. Phone/Fax

Practice location:
  • Phone: 980-304-3956
  • Fax:
Mailing address:
  • Phone: 980-395-9773
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code106E00000X
TaxonomyAssistant Behavior Analyst
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code106S00000X
TaxonomyBehavior Technician
License Number
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: