Individual
ALICIA MARIE FLORA ROBERTS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BS
Contact information
Practice address
111 MACKENAN DR, CARY, NC 27511-7903
(919) 371-2848
Mailing address
11 NADEAU CT, DURHAM, NC 27704-5157
(919) 622-7992
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
000048725158
NC
Other
Enumeration date
06/03/2024
Last updated
06/03/2024
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