Individual
KRISTIN BLOW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
3000 BETHESDA PL STE 202, WINSTON SALEM, NC 27103
(252) 751-0518
(252) 565-4505
Mailing address
3851 DUNHAGAN RD STE 102, GREENVILLE, NC 27858-6640
(252) 751-0518
(252) 565-4505
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
103K00000X
Behavior Analyst
Primary
1038
NC
Other
Enumeration date
09/27/2017
Last updated
02/08/2024
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