Individual
ANAIYA TANEIL WILLIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
150 CHARLOIS BLVD, WINSTON SALEM, NC 27103-1549
(704) 440-3580
Mailing address
317 ASHFORD CT, WINSTON SALEM, NC 27103-6252
(336) 692-3297
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-26-527217
NC
Other
Enumeration date
07/01/2026
Last updated
07/01/2026
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