Individual
AERIEL EATMON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
121 DIVER DR UNIT B, LEXINGTON, NC 27295-7755
(216) 767-6336
Mailing address
121 DIVER DR UNIT B, LEXINGTON, NC 27295-7755
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
NC
Other
Enumeration date
08/14/2026
Last updated
08/14/2026
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