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Organization
NC BEHAVIOR SERVICES EDUCATION AND TREATMENT
Active
Organization
NC BEHAVIOR SERVICES EDUCATION AND TREATMENT
Active
Other names
NC BSET
Organization subpart
No
Provider details
NPI number
Authorized official
CATHERINE C DEBRODER BCBA (CHIEF EXECUTIVE OFFICER)
(336) 416-8266
Entity
Organization
Contact information
Practice address
804 W BANK ST, WINSTON SALEM, NC 27101-5126
(336) 416-8266
Mailing address
804 W BANK ST, WINSTON SALEM, NC 27101-5126
(336) 416-8266
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
—
—
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
01/25/2024
Last updated
10/31/2024
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