Individual
CHEYANNA GAYLL TEDDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
16717 US HIGHWAY 17 STE 210, HAMPSTEAD, NC 28443-3239
(910) 599-2230
Mailing address
16717 US HIGHWAY 17 STE 210, HAMPSTEAD, NC 28443-3239
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
02/08/2023
Last updated
02/08/2023
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