Individual
CYNTHIA WORTHAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
603 NEW BRIDGE ST, JACKSONVILLE, NC 28540-5432
(910) 389-0901
Mailing address
106 GRANNY DR, SNEADS FERRY, NC 28460-9403
(910) 389-2790
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-1832148
NC
Other
Enumeration date
06/07/2019
Last updated
06/07/2019
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