Individual
JESSICA L MORTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RBT
Contact information
Practice address
6825 POPPY HILLS LN, #1532, CHARLOTTE, NC 28226-8568
(336) 253-5893
Mailing address
505 OBERLIN RD, STE 230, RALEIGH, NC 27605-1327
(919) 743-0204
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
RBT-16-20099
NC
Other
Enumeration date
07/13/2016
Last updated
07/13/2016
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