Individual
ANJA BASILICI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5948 FISHER RD STE 202, FAYETTEVILLE, NC 28304-5751
(191) 058-4199
(910) 766-6080
Mailing address
5948 FISHER RD STE 202, FAYETTEVILLE, NC 28304-5751
(191) 058-4199
(910) 766-6080
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
22228092
—
Other
Enumeration date
08/04/2022
Last updated
08/04/2022
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