Individual
EBONY PARKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
421 FAYETTEVILLE ST STE 1100, RALEIGH, NC 27601-3000
(252) 813-7390
Mailing address
421 FAYETTEVILLE ST STE 1100, RALEIGH, NC 27601-3000
(252) 813-7390
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
09/26/2019
Last updated
09/26/2019
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