Individual
ASHTON NOEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1018 N BRAGG BLVD, SPRING LAKE, NC 28390-3316
(910) 295-2609
Mailing address
601 W CHISHOLM ST, SANFORD, NC 27330-3733
(919) 478-8557
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-18-60311
NC
Other
Enumeration date
07/18/2018
Last updated
07/18/2018
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