Individual
HEIDY BORGES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
147 RHINE RD, FORT LIBERTY, NC 28307-1736
(786) 832-5051
Mailing address
147 RHINE RD, FORT LIBERTY, NC 28307-1736
(786) 832-5051
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-20-128752
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
41405825000
—
MD
Enumeration date
06/17/2019
Last updated
07/21/2024
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