Individual
MRS. KRISTIN MUMPOWER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPA, BCBA
Contact information
Practice address
512 KELLYRIDGE DR, APEX, NC 27502-9531
(910) 228-3091
(910) 516-1682
Mailing address
512 KELLYRIDGE DR, APEX, NC 27502-9531
(910) 228-3091
(910) 516-1682
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-13-13055
—
Other
Enumeration date
05/13/2013
Last updated
08/04/2023
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