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Individual

ALISHA RENEE BREEDEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
1018 N BRAGG BLVD, SPRING LAKE, NC 28390-3316
(910) 295-2609
Mailing address
1421 AULTROY DR, FAYETTEVILLE, NC 28306-3561
(910) 728-0159

Taxonomy

Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary

Other

Enumeration date
07/17/2019
Last updated
07/17/2019
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