Individual
MR. THOMAS GREGORY MABY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MS, BCBA
Contact information
Practice address
3500 SPRING FOREST RD, RALEIGH, NC 27616-2947
(570) 396-1781
Mailing address
904 SILVERSTONE WAY, HOLLY SPRINGS, NC 27540-8734
(919) 946-5581
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-21-48843
NC
Other
Enumeration date
04/07/2021
Last updated
03/23/2022
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