Individual
CASEY OGBURN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, BCBA
Contact information
Practice address
725 WELLINGTON AVE, WILMINGTON, NC 28401-7652
(910) 392-4881
Mailing address
725 WELLINGTON AVE, WILMINGTON, NC 28401-7652
(910) 392-4881
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-18-29480
NC
222Q00000X
Developmental Therapist
—
—
Other
Enumeration date
03/11/2014
Last updated
06/16/2021
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