Individual
ROBERT KENNETH WAYNE MITTON III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
421 FAYETTEVILLE ST STE 1100, RALEIGH, NC 27601-3000
(877) 418-2978
(866) 500-2186
Mailing address
421 FAYETTEVILLE ST STE 1100, RALEIGH, NC 27601-3000
(877) 418-2978
(866) 500-2186
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
106S00000X
Behavior Technician
—
NC
Other
Enumeration date
03/26/2020
Last updated
10/15/2024
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