| Provider / Organization | NPI | Date Certified |
|---|---|---|
| MONICA ESPINOZA SOUTHARD | 1225578149 | 2024-01-07 |
Monica Espinoza Southard is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1225578149. Registration indicates Monica Espinoza Southard is a provider of access to mental health/behavioral health providers services with a specialization in Behavioral Health & Social Service Providers, Behavioral Analyst (Behavioral Health & Social Service Providers, Behavioral Analyst) (Behavioral Analyst, ) (Behavioral Health/Substance Abuse/Psychiatry, ) (Behavioral Analyst, Behavioral Health & Social Service Providers)
| Entity Type | Individual |
| Provider Name | Monica Espinoza Southard MA BCBA |
| Practice Office Address | 1420 PLAZA DR WINSTON SALEM, NC US |
| Practice Office Telephone | 3365607878 |
| Mailing Address | 1595 HENLEY DR ASHEBORO, NC 272057842 US |
| Address | City / State | Phone / Fax |
|---|---|---|
| 421 Fayetteville St Ste 1100 | Raleigh, NC 276013000 | 4193064884 |
| Code | Practice | License No State |
|---|---|---|
| 103K00000X PRIMARY | Access to Mental Health/Behavioral Health Providers Behavioral Health & Social Service Providers Behavioral Analyst Behavioral Health & Social Service Providers Behavioral Analyst Behavioral Analyst Behavioral Health/Substance Abuse/Psychiatry Behavioral Analyst Behavioral Health & Social Service Providers | 1-21-54832
NC |