Individual
DAEQUAN ALSTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
421 FAYETTEVILLE ST STE 1100, RALEIGH, NC 27601-3000
(877) 418-2978
Mailing address
500 FAIRWAY DR STE 102, DEERFIELD BEACH, FL 33441-1817
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
NC
Other
Enumeration date
11/02/2021
Last updated
11/02/2021
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