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Organization
SEEDS 2 NURTURE LLC
Active
Organization
SEEDS 2 NURTURE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. TIFFANY N HARRIS-MARION M. ED, RBT (CEO/OWNER)
(321) 234-4964
Entity
Organization
Contact information
Practice address
111 CYRUS PL, JACKSONVILLE, NC 28546-5709
(910) 388-9367
Mailing address
111 CYRUS PL, JACKSONVILLE, NC 28546-5709
(910) 388-9367
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
RBT-15-09693
NC
251K00000X
Public Health or Welfare Agency
Primary
RBT-15-09693
NC
Other
Enumeration date
10/02/2016
Last updated
10/05/2016
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