Individual
MRS. MEGAN BROOKE AGRIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S., BCBA
Contact information
Practice address
4900 WATERS EDGE DR STE 100, RALEIGH, NC 27606-5662
(919) 219-6625
Mailing address
8413 ASHWOOD DR, RALEIGH, NC 27603-9310
(919) 219-6255
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
11415180
NC
Other
Enumeration date
06/27/2014
Last updated
12/03/2021
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