Individual
ANTONAYSHA RANDOLPH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1701 CENTER ST, APEX, NC 27502-7026
(984) 246-9080
Mailing address
1104 ATHENS DR # B, RALEIGH, NC 27606-2421
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
06/10/2025
Last updated
06/10/2025
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