Individual
KIONA AUTRY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
421 FAYETTEVILLE ST STE 1100, RALEIGH, NC 27601-3000
(888) 880-9270
Mailing address
5816 CREEDMOOR RD STE 104, RALEIGH, NC 27612-2310
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-19-37913
—
106S00000X
Behavior Technician
—
—
Other
Enumeration date
06/07/2017
Last updated
11/05/2019
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