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General NPI Number Information
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NPI Number | 1962782862
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Entity Type | Individual
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Provider Name | MONICA M. SERRANO LPC, BCBA
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Gender | Female
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Dates
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Enumeration Date | 08/23/2011
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Last Update Date | 04/02/2018
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Provider Practice Location Address
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Address Line | 1927 N SHARON AMITY RD
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City | CHARLOTTE
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State | NC
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Zip | 28205-7921
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Country | US
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Telephone | 704-200-9355
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Fax |
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Provider Business Mailing Address
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Address Line | 1927 N SHARON AMITY RD
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City | CHARLOTTE
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State | NC
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Zip | 28205-7921
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Country | US
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Telephone | 704-200-9355
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | 12854
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License Number State | NC
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Taxonomy #2
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Taxonomy Code | 103K00000X
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Taxonomy Name | Behavior Analyst
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License Number | 1-17-24973
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License Number State |
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