Provider Demographics
NPI:1528394004
Name:A NEW DAY CHILD AND ADULT BEHAVIOR INTERVENTION INC
Entity Type:Organization
Organization Name:A NEW DAY CHILD AND ADULT BEHAVIOR INTERVENTION INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:BRENDA
Authorized Official - Middle Name:L
Authorized Official - Last Name:BAUDUIN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:704-996-3327
Mailing Address - Street 1:9522 STONEBRIDGE WAY
Mailing Address - Street 2:
Mailing Address - City:MINT HILL
Mailing Address - State:NC
Mailing Address - Zip Code:28227-7053
Mailing Address - Country:US
Mailing Address - Phone:704-996-3327
Mailing Address - Fax:
Practice Address - Street 1:9522 STONEBRIDGE WAY
Practice Address - Street 2:
Practice Address - City:MINT HILL
Practice Address - State:NC
Practice Address - Zip Code:28227-7053
Practice Address - Country:US
Practice Address - Phone:704-996-3327
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-10-19
Last Update Date:2009-10-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC305S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes305S00000XManaged Care OrganizationsPoint of Service