Individual
FYA LINK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
920 CAMBRIDGE ST, FAYETTEVILLE, NC 28303-5300
(910) 493-3555
Mailing address
330 SAWTOOTH DR APT 1, FAYETTEVILLE, NC 28314-4506
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
12/03/2025
Last updated
12/03/2025
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