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Individual

MRS. BLAIR HOLLIFIELD WHISNANT

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MA, BCBA

Contact information

Practice address
4913 PROFESSIONAL CT STE 203, RALEIGH, NC 27609-1926
(704) 284-3620
Mailing address
345 RIDGEWOOD DR NW, CALABASH, NC 28467-1847
(704) 284-3620

Taxonomy

Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
NC
106S00000X
Behavior Technician

Other

Enumeration date
03/29/2018
Last updated
03/25/2022
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