Individual
ABIGAYLE NEVAEH WALWORTH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RBT
Contact information
Practice address
2812 COMMERCE RD, JACKSONVILLE, NC 28546-8113
(910) 333-8050
Mailing address
304 WELLINGTON PL, JACKSONVILLE, NC 28546-8341
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-24-383480
NC
Other
Enumeration date
10/07/2024
Last updated
10/07/2024
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