Individual
JAMIE GERAGHTY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
204 E FRONT ST, STATESVILLE, NC 28677-5905
(704) 803-4500
Mailing address
215 RED COACH DR, MISHAWAKA, IN 46545-8307
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
000046617888
NC
2255A2300X
Athletic Trainer
Primary
000046617888
NC
Other
Enumeration date
05/21/2020
Last updated
01/16/2026
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