Individual
GRANT HARRISON WILEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RBT
Contact information
Practice address
500 MILITARY CUTOFF RD, WILMINGTON, NC 28405-9737
(910) 392-0080
(910) 392-7035
Mailing address
500 MILITARY CUTOFF RD, WILMINGTON, NC 28405-9737
(910) 392-0080
(910) 392-7035
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-22-246028
NC
Other
Enumeration date
03/06/2023
Last updated
03/06/2023
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