Individual
CHERILYN NICHOLE BASSETT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1018 N BRAGG BLVD, SPRING LAKE, NC 28390-3316
(910) 295-2609
Mailing address
31 NIJMEGEN ST, FORT BRAGG, NC 28307-6097
(252) 370-0879
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
09/24/2020
Last updated
09/24/2020
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