Organization
AUTRY BEHAVIORAL CONSULTANTS & RESOURCES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KIONA AUTRY BCBA (OWNER/CEO)
(910) 583-4817
Entity
Organization
Contact information
Practice address
330 WEDGEFIELD DR, RAEFORD, NC 28376-5010
(910) 583-4817
(910) 500-0603
Mailing address
330 WEDGEFIELD DR, RAEFORD, NC 28376-5010
(910) 583-4817
(910) 500-0603
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
—
—
251S00000X
Community/Behavioral Health Agency
Primary
—
—
252Y00000X
Early Intervention Provider Agency
—
—
Other
Enumeration date
09/13/2022
Last updated
09/13/2022
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