Individual
ASIA BRANCH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
111 MACKENAN DR, CARY, NC 27511-7903
(919) 371-2848
Mailing address
161 CAMBRIDGE ELM DR, CLAYTON, NC 27520-4907
(919) 414-1629
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
000042016833
NC
Other
Enumeration date
08/07/2023
Last updated
08/07/2023
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