Individual
SYDNEY BALL HOLMES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
103 LELAND DR, PIKEVILLE, NC 27863-8241
(919) 524-1175
Mailing address
103 LELAND DR, PIKEVILLE, NC 27863-8241
(919) 524-1175
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
1-19-34682
NC
103T00000X
Psychologist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110026265E
—
MA
Enumeration date
04/11/2019
Last updated
09/18/2024
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