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Individual

MOMOH AUGUSTINE BONA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
RBT, DSP, HHA

Contact information

Practice address
4801 DANUBE LN APT 703, DURHAM, NC 27704-1854
(408) 831-8727
Mailing address
4801 DANUBE LN APT 703, DURHAM, NC 27704-1854
(408) 831-8727

Taxonomy

Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
RBT-24-392496
NC
172A00000X
Driver
NC
372600000X
Adult Companion
NC
3747P1801X
Personal Care Attendant
NC
385H00000X
Respite Care
NC
385HR2050X
Respite Care Camp
Primary
NC
385HR2055X
Child Mental Illness Respite Care
NC
385HR2060X
Child Intellectual and/or Developmental Disabilities Respite Care
NC

Other

Enumeration date
09/03/2025
Last updated
10/04/2025
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