Individual
AMREE RAE POWERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2522 CLARK AVE, RALEIGH, NC 27607-7214
(252) 455-3661
Mailing address
2522 CLARK AVE, RALEIGH, NC 27607-7214
(252) 455-3661
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-23-316662
NC
Other
Enumeration date
11/21/2024
Last updated
11/21/2024
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