Individual
JAMIESON PAIGE WOOTEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
185 MITTIE HADDOCK DR, CAMERON, NC 28326-9379
(800) 991-6070
Mailing address
483 N ASHE ST, SOUTHERN PINES, NC 28387-5507
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-21-54412
NC
106E00000X
Assistant Behavior Analyst
8908
—
Other
Enumeration date
07/26/2017
Last updated
01/19/2022
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