Individual
DEANNA MAYNARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1152 EXECUTIVE CIR STE 101, CARY, NC 27511-4578
(901) 725-0702
Mailing address
4520 TESLA PARK DR UNIT 202, WILMINGTON, NC 28412-6999
(252) 450-5756
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-24-397599
NC
106S00000X
Behavior Technician
RBT-26-542048
NC
Other
Enumeration date
08/14/2025
Last updated
07/07/2026
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