Individual
DEJA J HAINES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RBT
Contact information
Practice address
5816 CREEDMOOR RD STE 104, RALEIGH, NC 27612-2310
(919) 665-4673
(919) 882-8348
Mailing address
5816 CREEDMOOR RD, RALEIGH, NC 27612-2310
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
11/06/2017
Last updated
11/06/2017
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