Individual
CELETA MARIE MANN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
421 FAYETTEVILLE ST STE 1100, RALEIGH, NC 27601-3000
(877) 418-2978
Mailing address
500 FAIRWAY DR STE 102, DEERFIELD BCH, FL 33441-1817
(877) 418-2978
(866) 500-2186
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
15347554
—
NC
Enumeration date
05/06/2022
Last updated
05/06/2022
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