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Organization
LUKES ABA
Active
Organization
LUKES ABA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. MARQUITA RANDOLPH-BREEDEN (QASP-S / REGISTERED BEHAVIOR TECH)
(609) 414-9736
Entity
Organization
Contact information
Practice address
525 WILLOW BREEZE CT, ZEBULON, NC 27597-9703
(609) 414-9736
(919) 375-5044
Mailing address
525 WILLOW BREEZE CT, ZEBULON, NC 27597-9703
(609) 414-9736
(919) 375-5044
Taxonomy
Speciality
Code
Description
License number
State
106E00000X
Assistant Behavior Analyst
—
—
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
06/15/2020
Last updated
06/15/2020
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