Organization
GENESIS THERAPEUTIC SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TREVONE MCNEILL (CEO)
(910) 364-2693
Entity
Organization
Contact information
Practice address
6905 RAEFORD RD, FAYETTEVILLE, NC 28304-2632
(910) 835-5000
Mailing address
6905 RAEFORD RD, FAYETTEVILLE, NC 28304-2632
(910) 835-5000
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
03/20/2025
Last updated
03/20/2025
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