Individual
CHANNING M BUGBEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA
Contact information
Practice address
16717 US HIGHWAY 17, HAMPSTEAD, NC 28443-3696
(910) 599-2230
Mailing address
708 SQUIRE LN, WILMINGTON, NC 28411-8346
(910) 264-6801
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-21-53905
NC
106S00000X
Behavior Technician
—
NC
Other
Enumeration date
07/12/2021
Last updated
10/05/2021
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