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NPI Code Detail

MEDICARE: MR. DAMON DAY

MEDICARE: MR. DAMON DAY
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1106S00000XBehavior TechnicianFL
2106E00000XAssistant Behavior Analyst
3103K00000XBehavior Analyst

General Provider Information

NPI Number : 1740753540
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. DAMON DAY
Provider Business Mailing Address
First Line : 2301 TANFIELD DR
Second Line :
City : MATTHEWS
State : NC
Zip : 28105-0814
Country : US
Telephone Number : 980-395-9773
Fax Number :
Provider Business Practice Location Address
First Line : 420 HAWTHORNE LN
Second Line :
City : CHARLOTTE
State : NC
Zip : 28204-2312
Country : US
Telephone Number : 703-780-4271
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/04/2019
Last Update Date : 08/29/2021

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