Individual
DESTANE LEAK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3649 CAPE CENTER DR, FAYETTEVILLE, NC 28304-4457
(910) 484-1711
Mailing address
568 SANDHURST DR, FAYETTEVILLE, NC 28304-4426
(910) 484-1711
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-23-310444
NC
Other
Enumeration date
11/13/2023
Last updated
11/13/2023
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us