Individual
BREANNA SHELL JUMP
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RBT
Contact information
Practice address
111 MACKENAN DR, CARY, NC 27511-7903
(828) 557-4293
Mailing address
111 MACKENAN DR, CARY, NC 27511-7903
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
08/15/2017
Last updated
08/15/2017
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