Individual
NMYIA-IMARI COLLINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1013 REILLY RD., FORT BRAGG, NC 28307
(207) 814-8542
Mailing address
3928 FOX MEADOW LN, HOPE MILLS, NC 28348-2091
(910) 261-4518
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
106E00000X
Assistant Behavior Analyst
—
—
106S00000X
Behavior Technician
—
—
Other
Enumeration date
02/15/2021
Last updated
04/14/2023
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