Individual
BRIANNA HEADEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
421 FAYETTEVILLE ST STE 1100, RALEIGH, NC 27601-3000
(866) 418-2186
(866) 500-2186
Mailing address
3921 SHEPWAY LOOP, GREENSBORO, NC 27405-9751
(336) 988-9209
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
—
—
171400000X
Health & Wellness Coach
Primary
—
—
171W00000X
Contractor
—
—
376J00000X
Homemaker
—
—
Other
Enumeration date
07/31/2014
Last updated
02/08/2022
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