Individual
MRS. AMY M WILLOUGHBY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
111 MACKENAN DR, CARY, NC 27511-7903
(803) 396-0526
Mailing address
111 MACKENAN DR, CARY, NC 27511-7903
(803) 396-0526
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
106S00000X
Behavior Technician
—
—
Other
Enumeration date
08/12/2017
Last updated
07/21/2022
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