Individual
ILEANA JOSEPH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
110 CONNER DR STE 4, CHAPEL HILL, NC 27514-7044
(984) 261-0808
Mailing address
4800 TAPERS DR APT C, RALEIGH, NC 27616-7024
(704) 441-7812
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
BACB850087
NC
Other
Enumeration date
01/22/2024
Last updated
01/22/2024
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