Way, Brooke Mary

Way, Brooke Mary is an individual health care provider with primary practice located at 6634 Old Statesville Rd , Charlotte NC 28269-6768. She recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Behavior Technician, Nursing Service Related Providers / Personal Care Attendant, Behavioral Health & Social Service Providers / Behavioral Analyst. Behavioral Health & Social Service Providers / Behavioral Analyst is her primary health care specialty. Way, Brooke Mary can be contacted via phone (704) 313-5874.

Contact Information

Primary practice address
6634 Old Statesville Rd Charlotte NC 28269-6768
Phone: (704) 313-5874
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Behavior Technician 106S00000X
Nursing Service Related Providers / Personal Care Attendant 3747P1801X
Behavioral Health & Social Service Providers / Behavioral Analyst 103K00000X

Profile Details

NPI number 1982183950
LBN Legal business name Way, Brooke Mary
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 10th, 2018
Last updated Jan 9th, 2025 - about last year

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1982183950 NPPES
Other MMJ892451483 BLUE CROSS BLUE SHIELD

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