Provider Demographics
NPI:1497084800
Name:PLATTNER, CALANDRA (BCBA)
Entity Type:Individual
Prefix:
First Name:CALANDRA
Middle Name:
Last Name:PLATTNER
Suffix:
Gender:F
Credentials:BCBA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:119 TRAFALGAR LANE
Mailing Address - Street 2:
Mailing Address - City:CARY
Mailing Address - State:NC
Mailing Address - Zip Code:27513-5124
Mailing Address - Country:US
Mailing Address - Phone:919-665-8900
Mailing Address - Fax:
Practice Address - Street 1:119 TRAFALGAR LN
Practice Address - Street 2:
Practice Address - City:CARY
Practice Address - State:NC
Practice Address - Zip Code:27513-5124
Practice Address - Country:US
Practice Address - Phone:919-665-8900
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-12-14
Last Update Date:2017-01-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
103K00000X
NC3672103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst
No103T00000XBehavioral Health & Social Service ProvidersPsychologist