Individual
HEAVENLY BELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
418 W MOUNTAIN ST STE B, KERNERSVILLE, NC 27284-2534
(704) 780-4271
Mailing address
1703 FAIRFAX RD APT B, GREENSBORO, NC 27407-4111
(336) 422-4213
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
05/07/2020
Last updated
05/07/2020
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